A clinical case of surgical treatment of a large odontogenic keratocyst

The creation of bone windows to isolate the cyst shell without fragmentation is the optimal approach to the treatment of large-sized odontogenic keratocysts. We guided the patient using the principle of both cystectomy and cystotomy, despite the removal of the keratocyst shell in full. The management of the patient by cystotomy, using iodophoric turunda, allowed to avoid complications associated with the formation of a large clot, and residual phenomena in case of recurrence after removal of the cyst shell. To enhance the formation of healthy bone tissue, we performed depulpation and resection of the roots of the teeth, which were at the defect level bone tissue, to improve the appositional bone growth.