Tooth impaction is a common condition in dental practice, typically involving third molars or canines. The impaction of mandibular second molar is relatively rare. Most of the impacted teeth are asymptomatic. However, they can sometimes be associated with underlying lesions. One such lesion is the orthokeratinized odontogenic cyst, a rare developmental odontogenic cyst, characterized by its less aggressive clinical behavior. This association may lead to a challenging and complex management approach. In this paper, we present a case report of the surgical management of rare orthoketatinized odontogenic cyst accidentally discovered in a 15 year-old male patient during a routine orthodontic examination, associated with an impacted second mandibular molar.
References
[1]
Barone, S., Antonelli, A., Bocchino, T., Cevidanes, L., Michelotti, A. and Giudice, A. (2023) Managing Mandibular Second Molar Impaction: A Systematic Review and Meta-Analysis. Journal of Oral and Maxillofacial Surgery, 81, 1403-1421. https://doi.org/10.1016/j.joms.2023.08.168
[2]
Barone, S., Cevidanes, L., Bocchino, T., Michelotti, A., Borelli, M. and Giudice, A. (2024) Mandibular Second Molar Impaction: Introducing a Novel and Validated 3D Classification System. BMC Oral Health, 24, Article No. 1209. https://doi.org/10.1186/s12903-024-05006-x
[3]
Alberto, P.L. (2020) Surgical Ex-posure of Impacted Teeth. Oral and Maxillofacial Surgery Clinics of North America, 32, 561-570. https://doi.org/10.1016/j.coms.2020.07.008
[4]
Mortazavi, H. and Baharvand, M. (2016) Jaw Lesions Associated with Impacted Tooth: A Radiographic Diagnostic Guide. Imaging Science in Dentistry, 46, 147-157. https://doi.org/10.5624/isd.2016.46.3.147
[5]
Müller, S. (2021) Developmental Odontogenic Lesions Associated with the Crown of an Impacted Tooth: A Guide to the Distinct Histologic Features Required for Classification. Head and Neck Pa-thology, 15, 107-112. https://doi.org/10.1007/s12105-020-01279-0
[6]
Nandini, D.B., Devi, T.P., Deepak, B.S. and Sanjeeta, N. (2022) Incidental Finding of Orthokeratinized Odontogenic Cyst with Unusual Features. Journal of Oral and Maxillofacial Pathology, 26, 130. https://doi.org/10.4103/jomfp.jomfp_133_21
[7]
Fahim, O., Kissi, L. and Ben Yahya, I. (2024) Odontogenic Keratocyst: Case Report and Literature Review. International Journal of Advanced Research, 9, 22-30.
[8]
Cassetta, M., Altieri, F., Di Mambro, A., Galluccio, G. and Barbato, E. (2013) Impaction of Permanent Mandibu-lar Second Molar: A Retrospective Study. Medicina Oral Patología Oral y Cirugia Bucal, 18, e564-e568. https://doi.org/10.4317/medoral.18869
[9]
Turley, P.K. (2020) The Management of Mesially Inclined/Impacted Man-dibular Permanent Second Molars. Journal of the World Federation of Orthodontists, 9, S45-S53. https://doi.org/10.1016/j.ejwf.2020.09.004
[10]
Kaczor-Urbanowicz, K., Zadurska, M. and Czochrowska, E. (2016) Im-pacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine, 25, 575-585. https://doi.org/10.17219/acem/37451
[11]
Mah, M. and Takada, K. (2016) Gestion orthodontique de l’inclusion de la seconde molaire mandibulaire. L’Orthodontie Francaise, 87, 301-308. https://doi.org/10.1051/orthodfr/2016034
[12]
Shoaee, S., Khazaei, P., Mashhadiabbas, F., Varshosaz, M., Sharifi, F. and Hessari, H. (2018) Association between Tooth Impaction and Odontogenic Lesions: A Matched Case-Control Study. Medical Journal of The Islamic Republic of Iran, 32, 334-337. https://doi.org/10.14196/mjiri.32.57
[13]
He, J., Wang, H., Zeng, J. and Zhou, L. (2024) Large Mandibular Odontogenic Keratocyst Treated by Decompression and Secondary Enucleation: A Case Report. Journal of Clinical Pediatric Dentistry, 48, 213-220.
