The Classification of Dental Keratocyst: Literature Review
DOI:
https://doi.org/10.21270/archi.v11i3.5813Keywords:
Odontogenic Cysts, World Health Organization, Head and Neck NeoplasmsAbstract
Objective: To identify the changes made in the terminology of odontogenic keratocysts since the meetings from 1992 to 2017 and justify the reasons that led to the new classification in the 4th edition of head and neck tumors. Methodology: the work is based on a literature review carried out by searching the databases, being Pubmed, Scielo, Virtual Health Library, with the descriptors “odontogenic keratocyst” and “classification of head and neck neoplasms”. The inclusion criteria were studies that resulted in a survey on odontogenic keratocyst and the new classification. Results and discussion: The results reveal which reasons led the World Health Organization (WHO) to reclassify the pathology, addressing mutations in the PTCH gene that served as the main evidence for the change in the nomenclature in 2005, the concept of neoplasia established by medical dictionaries and its comparison with the odontogenic keratocyst. Final considerations: The changes made to the current classification are focused on simplifying the previous version and facilitating the naming of options, making them less complex, and helping to conduct the case in terms of diagnosis. The modification of the nomenclature of the keratocystic odontogenic tumor to an odontogenic keratocyst is justified by the lack of evidence for the permanence of this pathology as an odontogenic tumor.
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