Queratoquiste Odontogénico de Gran Tamaño en la Mandíbula Tratado Mediante Enucleación Quirúrgica: Informe de Caso

Autores/as

  • Vinícius Franzão Ganzaroli DDS, MSc, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-8590-4978
  • Laura Vidoto Paludetto DDS, MSc, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil. https://orcid.org/0000-0001-6251-8604
  • Ana Carolina Zucon Bacelar DDS, MSc, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0003-2088-8417
  • Juliana de Aguiar Silveira Meira DDS, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0003-2340-2005
  • Rodrigo Isaias Lopes Pereira DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0009-0004-4234-0692
  • Estêvão Lopes-Pereira DDS, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-9766-7519
  • Arthur Nascimento Rocha DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0009-0009-8643-7337
  • Luan Felipe Toro DDS, MSc, PhD, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-1049-4257
  • Luciana Estevam Simonato DDS, MSc, PhD, Department of Clinical Propaedeutics and Pathology, Universidade Brasil, Fernandópolis, Brazil https://orcid.org/0000-0002-6413-5479
  • Gestter Willian Lattari Tessarin PhD, General and Applied Biology, Botucatu institute of Biosciences (IBB-UNESP), Brazil https://orcid.org/0000-0001-9448-9289
  • Idelmo Rangel Garcia Júnior DDS, MSc, PhD, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0009-0006-3690-8936
  • Edilson Ervolino DDS, MSc, PhD, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0003-4859-0583

DOI:

https://doi.org/10.21270/archi.v15i1.6744

Palabras clave:

Quistes Odontogénicos, Resultado del Tratamiento, Recurrencia, Tomografía Computarizada de Haz Cónico

Resumen

El queratoquiste odontogénico (QO) es un quiste odontogénico del desarrollo caracterizado por un comportamiento clínico agresivo, un alto potencial de crecimiento y altas tasas de recurrencia, lo que dificulta su diagnóstico y manejo terapéutico. El objetivo de este estudio fue informar y discutir las características clínicas, radiográficas e histopatológicas, así como los enfoques terapéuticos de un caso de QO mandibular extenso, tratado inicialmente y, tras una recurrencia, mediante enucleación. Una paciente de 20 años fue diagnosticada con una lesión intraósea extensa en la región posterior de la mandíbula derecha, identificada incidentalmente en un examen radiográfico. La hipótesis diagnóstica de queratoquiste odontogénico (QO) se confirmó mediante examen histopatológico tras la enucleación quirúrgica de la lesión asociada a la extracción del diente impactado 48. Seis meses después, los exámenes tomográficos mostraron recidiva, lo que requirió una nueva intervención quirúrgica mediante la enucleación de la lesión recurrente, junto con el tratamiento endodóntico de los dientes afectados 46 y 47. El seguimiento clínico y radiográfico tras la segunda cirugía no mostró signos de recidiva y se observó una adecuada neoformación ósea, lo que confirmó el éxito del enfoque terapéutico establecido. Se pudo concluir que este caso refuerza la importancia del diagnóstico histopatológico, la cuidadosa selección del enfoque terapéutico y el seguimiento clínico y radiográfico prolongado, dada la alta probabilidad de recidiva del queratoquiste odontogénico.

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Citas

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Publicado

2026-01-31

Cómo citar

Ganzaroli, V. F., Paludetto, L. V., Bacelar, A. C. Z., Meira, J. de A. S., Pereira, R. I. L., Lopes-Pereira, E., … Ervolino, E. (2026). Queratoquiste Odontogénico de Gran Tamaño en la Mandíbula Tratado Mediante Enucleación Quirúrgica: Informe de Caso. ARCHIVES OF HEALTH INVESTIGATION, 15(1), e6744 . https://doi.org/10.21270/archi.v15i1.6744

Número

Vol. 15 Núm. 1 (2026)

Sección

Original Articles