Journal of Oral Implantology September 2012 - (Page 485)

CASE REPORT Immediate Implants After Enucleation of an Odontogenic Keratocyst: An Early Return to Function Sabri C. Isler, PhD1 Sabit Demircan, PhD1* Taylan Can, DDS1 Zerrin Cebi, PhD1 Emrah Baca, PhD2 An odontogenic keratocyst is a unique cyst because of its locally aggressive behavior, high recurrence rate, and characteristic histologic appearance. In this article we present the case of a 22-year-old male patient with a large odontogenic keratocyst and describe his treatment with immediate dental implants. Key Words: immediate implant, odontogenic keratocyst, enucleation INTRODUCTION he odontogenic keratocyst (OKC) is a locally aggressive cystic lesion most frequently occurring in the posterior mandible in male patients in their second, third, and fourth decades. These lesions account for approximately 12%–14% of all odontogenic cysts of the jaw.1 Histologically, an OKC is characterized by a uniform, usually corrugated parakeratinized epithelium, 8–10 cells thick, presenting a flat basal surface lining the fibrous wall.2 Radiographically, these lesions are most often unilocular or multilocular radiolucencies surrounded by smooth or scalloped margins with sclerotic borders. An OKC has presumably arisen from cell rests of the dental lamina or from offshoots of the basal cell layer of the oral epithelium.1 Implant placement after enucleation of jaw cysts is an acceptable and well-documented procedure in clinical practice.3 CASE REPORT T symphyseal region. According to the patient’s medical history, he had been having these complaints for 1 year. He was prescribed antibiotics by a general practitioner. Extraoral examination revealed slight swelling and tenderness in the symphyseal region and buccal aspect of the right lower premolars. Orthopantomogram and computerized tomography scans of the mandible revealed a radiolucent lesion extending between the apical regions of the right lower molars and left lower canine. A thinning of the basal mandibular cortex was also present. No resorption of the roots of the involved teeth and no calcification were present in the lesion (Figure 1). A 22-year-old male patient was referred to our clinic complaining of intermittent pain and swelling in Department of Oral Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. 2 Department of Prosthetic Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. Corresponding author, e-mail: sabitdemircan@hotmail.com DOI: 10.1563/AAID-JOI-D-10-00027 1 FIGURE 1. Orthopantomogram showing a radiolucent lesion extending between the apical regions of the right lower molars and left lower canine. Journal of Oral Implantology 485

Table of Contents for the Digital Edition of Journal of Oral Implantology September 2012

American Academy of Implant Dentistry Foundation Supports Basic and Clinical Research
Evaluation of 3- to 8-Year Treatment Outcomes and Success Rates With 6 Implant Brands in Partially Edentulous Patients
Histometric Analysis of Bone Repair in Bone-Implant Interface Using a Polylactic/ Polyglycolic Acid Copolymer Associated With Implants in Rabbit Tibia
Fold-Over Flap Technique for Developing the Facial Gingival Contour: A Case Report
Rehabilitation of the Atrophic Posterior Maxilla With Pterygoid Implants: A Review
Immediate Loading of Maxillary and Mandibular Implant-Supported Fixed Complete Dentures: A 1- to 10-Year Retrospective Study
Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study
Immediate Implants After Enucleation of an Odontogenic Keratocyst: An Early Return to Function
Effects of Different Abutment Connection Designs on the Stress Distribution Around Five Different Implants: A 3-Dimensional Finite Element Analysis
Implant-Prosthetic Rehabilitation of a Patient with Nonsyndromic Oligodontia: A Clinical Report
Planning for Immediate Loading of Implant-Supported Prostheses: Literature Review
Development of a Rat Model of Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ)
Anorganic Bovine-Derived Hydroxyapatite vs β-Tricalcium Phosphate in Sinus Augmentation: A Comparative Histomorphometric Study
Peripheral Giant Cell Granuloma Associated With Dental Implants: Clinical Case and Literature Review
Bilateral Vertical Ridge Augmentation With Block Grafts and Guided Bone Regeneration in the Posterior Mandible: A Case Report
Cell Culture–Based Tissue Engineering as an Alternative to Bone Grafts in Implant Dentistry: A Literature Review

Journal of Oral Implantology September 2012