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Journals / Van Diş Hekimliği Dergisi / 2026 / Cilt: 7 Sayı: 1

CLINICAL MANAGEMENT OF A LARGE ODONTOGENIC KERATOCYST ADJACENT TO THE MANDIBULAR CANAL USING CURRENT DIAGNOSTIC AND TREATMENT APPROACHES

MANDİBULAR KANALA KOMŞU GENİŞ BİR ODONTOJENİK KERATOKİSTİN, GÜNCEL TANI VE TEDAVİ YÖNTEMLERİYLE KLİNİK YÖNETİMİ

Yakup Şen(FIRAT UNIVERSITY)0000-0002-3098-8414
Pınar Pak(FIRAT UNIVERSITY)0000-0002-8978-6833
Sümeyye Coşgun Baybars(FIRAT UNIVERSITY)0000-0002-4166-3754
Pages
75–83
Publication Date
2026-06-30
DOI
—
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AI Summary & Key Takeaways

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

This case demonstrates that a conservative two-stage treatment approach is an effective option for large OKCs involving the mandibular canal, as it reduces the risk of recurrence while minimizing the likelihood of neural injury.

📌 3 Key Takeaways

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Objective & Hypothesis:This study presents the diagnostic and therapeutic management of a large odontogenic keratocyst (OKC) closely associated with the mandibular canal using a conservative two-stage treatment approach.
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Key Findings & Data:In a 17-year-old male patient, a unilocular radiolucent lesion measuring approximately 2×4 cm and extending toward the mandibular ramus was detected in the left mandibular third molar region and was radiologically evaluated with a preliminary diagnosis of OKC.
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Conclusion & Impact:This case demonstrates that a conservative two-stage treatment approach is an effective option for large OKCs involving the mandibular canal, as it reduces the risk of recurrence while minimizing the likelihood of neural injury.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Odontojenik keratokist · mandibular kanal · marsupyalizasyon

Abstract

This study presents the diagnostic and therapeutic management of a large odontogenic keratocyst (OKC) closely associated with the mandibular canal using a conservative two-stage treatment approach. In a 17-year-old male patient, a unilocular radiolucent lesion measuring approximately 2×4 cm and extending toward the mandibular ramus was detected in the left mandibular third molar region and was radiologically evaluated with a preliminary diagnosis of OKC. The treatment plan consisted of initial marsupialization followed by enucleation. Histopathological examination confirmed the diagnosis of plaque-type OKC, and a significant reduction in lesion volume was observed during the 12-month follow-up period. Enucleation and extraction of the associated tooth were subsequently performed as the second stage of treatment. No recurrence was observed during the two-year radiographic follow-up. This case demonstrates that a conservative two-stage treatment approach is an effective option for large OKCs involving the mandibular canal, as it reduces the risk of recurrence while minimizing the likelihood of neural injury.

Özet

Bu çalışmada, mandibular kanal ile yakın ilişkili geniş bir odontojenik keratokistin (OKC) tanı ve tedavi süreci konservatif iki aşamalı yaklaşım kapsamında sunulmaktadır. On yedi yaşındaki erkek hastada sol mandibular üçüncü molar bölgesinde saptanan, ramusa uzanan yaklaşık 2×4 cm boyutlarında uniloküler radyolüsens lezyon, radyolojik olarak OKC ön tanısı ile değerlendirilmiş ve tedavi planı ilk aşamada marsupyalizasyon, ardından enükleasyon şeklinde oluşturulmuştur. Histopatolojik inceleme plak tip OKC tanısını doğrulamış, on iki aylık takipte lezyon hacminde belirgin küçülme gözlenmiş, ikinci aşamada enükleasyon ve ilgili dişin çekimi gerçekleştirilmiştir. İki yıllık radyografik takipte nüks izlenmemiştir. Bu olgu, mandibular kanal komşuluğu bulunan geniş OKC’lerde konservatif iki aşamalı tedavi yaklaşımının, nüks riskini azaltırken sinir hasarı olasılığını da en aza indiren etkili bir seçenek olduğunu göstermektedir.

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Cite This Article

Şen, Y., Pak, P., Baybars, S. C. (2026). CLINICAL MANAGEMENT OF A LARGE ODONTOGENIC KERATOCYST ADJACENT TO THE MANDIBULAR CANAL USING CURRENT DIAGNOSTIC AND TREATMENT APPROACHES. Van Diş Hekimliği Dergisi, Cilt: 7 Sayı: 1, 75–83. https://ajindex.com/articles/1647314

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