Evaluation of different cauterization techniques in odontogenic keratocyst: An original research

Abstract

Aim: Purpose of the present research was to valuate various cauterization techniques in treatment of Odontogenic Keratocyst.

Methodology: This study involved the retrospective review of 30 patients (20 males and 10 females) of biopsy proven odontogenic keratocysts. All patients were divided into two groups – Group I-received a combination of enucleation and chemical cauterization with every time freshly prepared Carnoy’s solution (absolute alcohol 6 mL, chloroform 3 mL, glacial acetic acid 1 mL, ferric chloride 0.1 gm/mL) and Group-II- enucleation and electrocauterization of the lesion. None of these patients were diagnosed with basal cell nevus syndrome. A total of 30 biopsy proven OKC were resolved with this treatment method. Postoperative follow up consists of clinical and radiographic examination.

Results: Out of 30 cases 20 patients were asymptomatic and most of the lesions were (28/30) parakeratnized type. 15 OKCs had no evidence of clinical or radiographic recurrence after treatment by enucleation and electrocauterization. Recurrence was reported in 2 patients (5.8%) in chemical cauterization group.

Conclusion: Conservative surgical management of Odontogenic Keratocyst (OKC) with combined therapy using multimodal therapeutic approaches was shown to be a good alternative to resection in OKC.