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Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 47-50

Extensive mandibular odontogenic keratocysts associated with basal cell nevus syndrome treated with carnoy's solution versus marsupialization

1 Department of Maxillofacial and Oral Surgery, Medunsa Oral Health Centre, Sefako Makgatho Health Sciences University, Kimberley, South Africa
2 Medunsa Oral Health Centre, Sefako Makgatho Health Sciences University, Kimberley, South Africa
3 Infinity Health Medical Center, Kimberley, South Africa

Correspondence Address:
Dr. Irshaad Abdoola
Suite 106, Lenmed Hospital, 6 Welgevonden St, Royldene, Kimberley 8301
South Africa
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DOI: 10.4103/ams.ams_134_19

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The inherent proliferative capacity of the cystic lining of odontogenic keratocysts and tendency to recur with enucleation led to more aggressive management being widely recommended. Larger lesions preclude the possibility of resection. A case is reported in which extensive odontogenic keratocysts involve almost the entire mandibular medulla of a patient with basal cell nevus syndrome, illustrating the importance of customising treatment to accommodate the clinical and radiographic presentation of individual cases. The clinical outcome of using Carnoy's solution versus marsupialization is radiographically demonstrated in this case. Diagnostic criteria for basal cell nevus syndrome and treatment modalities of odontogenic keratocysts are discussed.

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