Management of Odontogenic Keratocyst through Decompression and Enucleation Approach: A Case Report

Abstract   BACKGROUNackground and aimD & AIM: Keratinized odontogenic cyst is a developmental odontogenic cyst that is mainly due to dental lamina. This cyst has the nature of local invasion and high recurrence. There are several therapeutic measures to control the recurrence of this cyst in studies. One of the conservative approaches is to use an enucleation followed by decompression techniques. The aim of this study was evaluation of the combined therapeutic approach of decompression and enucleation with 3 years follow up as the definite treatment. Case Report: Case study is a 5-year-old male patient with left mandibular OKC who has been definitively treated with decompression and enucleation with peripheral ostectomy and use of 5FU (5 flurouracil) topical ointment. Conclusion: Despite many options for OKC treatment, surgeons often seek conservative treatment of this cyst by decompression and enucleation because morbidity and recurrence are less reported than other methods.  Keywords: Odontogenic keratocyst, enucleation, decompression, 5 flurouracil.