VALIDITY OF MODIFIED CARNOY’S SOLUTION AS A CHEMICAL CURETTAGE FOR TREATING KERATOCYSTIC ODONTOGENIC TUMOR: AN IN-VIVO STUDY | ||
| Dental Science Updates | ||
| Article 15, Volume 6, Issue 1, March 2025, Pages 133-140 PDF (1.14 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/dsu.2025.318425.1258 | ||
| Authors | ||
| Ayman Gamal Naser* 1; Mohamed Said Hamed2; Eman Abdehalim Al Sharawy3 | ||
| 1Department of oral and maxillofacial surgery. Faculty of dentistry. Suze canal university. alesmailya. Egypt | ||
| 2Oral and maxillofacial surgery department, faculty of dentistry, Suez Canal University | ||
| 3Oral and Maxillofacial surgery department, Faculty of Dentistry, Suez Canal University | ||
| Abstract | ||
| Introduction: Maxillofacial surgeons usually face difficulty in treating odontogenic keratocysts since it has a high risk of recurrence and are small and delicate, which prevents one-piece enucleation. Aim: To assess the effectiveness of modified Carnoy’s solution as a chemical curettage method for treating Odontogenic Keratocysts and lowering their propensity to recur. Material and Methods: The current study included twelve patients diagnosed with having odontogenic keratocysts either in the maxilla or mandible. The lesion was enucleated and any teeth adhering to the lesion were removed. Modified Carnoy’s solution was applied for 3-5 min using ribbon gauze or cotton applicators in the bony cavity and the fenestrated area where excision of the overlying soft tissue was not possible. After thorough irrigation with saline, then the wound was closed with a resorbable suture. During the follow-up visits (six and twelve months after surgery), the presence and/or rate of recurrence were examined clinically and radiographically by panoramic radiography to evaluate presence of osteolytic areas in the surgical site. Results: The recurrence rate of odontogenic keratocysts in the present study after six months follow up was 8.3% and after twelve months follow up was 33.3%. Eight patients showed no recurrence after twelve months follow up, while one patient showed recurrence after six months and the remaining three patients showed recurrence after twelve months follow up. Conclusion: The recurrence rate of OKC was reduced in the current trial using a modified version of Carnoy’s solution, nevertheless, it is still considered high compared to conventional treatment techniques. | ||
| Keywords | ||
| Surgical; odontogenic; keratocysts; treatment By application of modified Carnoy's solution | ||
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