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Journals / Selcuk Dental Journal / 2026 / Volume: 12 Issue: 2

Keratocyst Coexistent with Dentigerous Cyst of the Mandible: Diagnostic Challenging and Treatment Approach- Rare Two Cases

Mandibulada Dentigeröz Kist ile Birlikte Görülen Keratokist: Tanısal Zorluklar ve Tedavi Yaklaşımı- İki Nadir Olgu

Rabia Tül Adeviye Çankaya(ONDOKUZ MAYIS ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-9290-4901
Metehan Keskin(ONDOKUZ MAYIS ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0002-0640-9099
Seda Gün(ONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-6652-4582
Pages
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Publication Date
2025-08-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

OKC recurred after 2 years, necessitating re-operation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This article outlines the diagnosis and treatment of two cases presenting with concurrent dentigerous cysts (DC) and odontogenic keratocysts (OKC) with similar radiographic and clinical appearances that occur simultaneously in the mandible in patients without syndrome.
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Key Findings & Data:Case 1: A 9-year-old female with hemophilia C exhibited swelling in the lower jaw's retromolar regions.
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Conclusion & Impact:OKC recurred after 2 years, necessitating re-operation.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:decompression · dentigerous cyst · odontogenic keratocyst

Abstract

This article outlines the diagnosis and treatment of two cases presenting with concurrent dentigerous cysts (DC) and odontogenic keratocysts (OKC) with similar radiographic and clinical appearances that occur simultaneously in the mandible in patients without syndrome. Case 1: A 9-year-old female with hemophilia C exhibited swelling in the lower jaw's retromolar regions. Radiographic assessments revealed well-circumscribed radiolucent areas associated with teeth #37 and #47 on both sides. Marsupialization addressed the right OKC, while enucleation treated the left DC. Satisfactory healing occurred with better recovery in the DC. No recurrence was observed during the three-year follow-up. Case 2: A healthy 21-year-old male, previously diagnosed with jaw cysts, presented lesions around #38 and #48. Marsupialization and enucleation were performed on the right and left lesions, respectively. Pathological examination confirmed DC and OKC. OKC recurred after 2 years, necessitating re-operation.

Özet

Bu makalede, mandibulada eş zamanlı olarak ortaya çıkan benzer radyografik ve klinik görünümlere sahip dentigeröz kist (DC) ve odontojenik keratokist (OKC) ile başvuran iki sendromsuz olgunun tanı ve tedavisi anlatılmaktadır. Vaka 1: Hemofili C hastası 9 yaşında kadın hasta, çift taraflı mandibula retromolar bölgede şişlik gözlendi. Radyografik değerlendirmeler sonucunda, her iki tarafta 37 ve 47 numaralı dişlerle ilişkilendirilen iyi sınırlı radyolusent lezyonlar saptandı. Sağ taraftaki OKK'ye marsüpyalizasyon, sol taraftaki DK'ye enükleasyon uygulandı. Her iki tarafta da tatmin edici bir iyileşme izlenirken DK'de daha iyi bir iyileşme ile gerçekleşti. Üç yıllık takip süresinde nüks gözlemlenmedi. Vaka 2: Daha önce çene kistleri tanısı konmuş sağlıklı 21 yaşında bir erkek hastada, 38 ve 48 numaralı dişlerin etrafında lezyonlar tespit edildi. Sağdaki lezyon için marsüpyalizasyon, soldaki lezyon için enükleasyon uygulandı. Patolojik inceleme, DK ve OKK'yi doğruladı. OKK, 2 yıl sonra nüks etti ve yeniden opere edildi.

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Cite This Article

Çankaya, R. T. A., Keskin, M., Gün, S. (2025). Keratocyst Coexistent with Dentigerous Cyst of the Mandible: Diagnostic Challenging and Treatment Approach- Rare Two Cases. Selcuk Dental Journal, Volume: 12 Issue: 2. https://doi.org/10.15311/selcukdentj.1563987

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