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Erschienen in:
01.12.2013 | case study
Single tooth prosthetic rehabilitation of a patient with recurrent keratocystic odontogenic tumor
Erschienen in: international journal of stomatology & occlusion medicine | Ausgabe 4/2013
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Background
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.
Case presentation
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.
Conclusion
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.