01.12.2013 | case study
Single tooth prosthetic rehabilitation of a patient with recurrent keratocystic odontogenic tumor
DDS, PhD Yusuf Emes, DDS Bora Öncü, DDS Itır Şebnem Arpınar, DDS, PhD Buket Aybar, MD Vakur Olgaç, DDS, PhD Serhat Yalçın
international journal of stomatology & occlusion medicine
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Keratocystic odontogenic tumor (KCOT) is one of the most common odontogenic neoplasms. There are many kinds of treatment modalities which can be a conservative method, such as enucleation or an aggressive method, such as enucleation followed by cryosurgery and radical surgical tactics with bone resection. In the literature a relatively high recurrence rate reported for KCOT with a range of 5-70 % depending on the method of treatment.
The aim of this case report is to present the prosthetic rehabilitation of an 18-year-old male patient who had previously been operated on for a KCOT. Enucleation was preferred due to the size of the lesion. Even though a recurrence was observed 1 year postoperatively, a less extensive procedure was sufficient for the treatment. The patient was successfully rehabilitated with an implant after a follow up period of 19 months following the second operation.
Prosthetic rehabilitation of a single tooth implant after enucleation of KCOT is an optimal treatment option. No temporization was needed due to the patient preferences. After waiting for a 3 month period of healing phase, the gingiva former was fixed. After 1 week an impression was made and the crown was cemented. The restoration was clinically successful in the 3 month, 6 month and 1 year of follow-up.