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Aim: An odontogenic keratocyst (OKC) of the mandible is a benign intraosseus lesion of odontogenic origin characterized by a high recurrence rate. In this case report, we highlight the challenging diagnosis and propose a potential treatment for an extensive OKC with lingual expansion. Summary: A 26-year-old male with an OKC in the ramus of the right mandible near the second and third molars was treated by a combined intra/extra- oral approach. A reconstruction plate was adapted and fixed by extra-oral submandibular access, followed by intra/extra-orally executed enucleation. Key learning points: The combined intra/extra oral approach seems a reasonable technique for the treatment of similar extensive OKC’s in order to avoid pathological fractures as well as guaranteeing total removal of the lesion. Keywords: Odontogenic keratocyst; Mandible; WHO classification; Treatment; Intra/Extra-oral approach.

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This page is a summary of: Large odontogenic keratocyst of the mandible: A combined intra/extra oral approach followed by enucleation, STOMATOLOGY EDU JOURNAL, January 2019, ROPOSTURO Romanian Association of Oral Rehabilitation and Posturotherapy,
DOI: 10.25241/stomaeduj.2019.6(2).art.6.
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