Prosthetic rehabilitation with dental implants after conservative management of odontogenic keratocyst of posterior mandible: A retrospective observational study.

Authors

Anshul J Rai, Jitendra Kumar, Babu Lal, Shailesh Kumar, Zenish Rameshbhai Bhatti, Akhilesh Saraf

Published in

National journal of maxillofacial surgery. Volume 17. Issue 2. Pages 302-305. Epub Jun 03, 2026.

Abstract

The aim of this article was to evaluate the surgical outcome of the dental implants placed as a prosthetic rehabilitation after the conservative management of odontogenic keratocyst of the posterior mandible. A retrospective analysis of patients treated with enucleation, curettage of bone, peripheral osteotomy, and chemical cauterization with Carnoy's solution of the posterior mandible was included in the study. The patients were subjected to spontaneous healing of the cystic cavity.
The study included 20 patients who underwent surgical management of OKCs in the posterior mandible between January 2012 and June 2017, followed by prosthetic rehabilitation using dental implants. Patients with systemic diseases, osteoporosis, or smoking habits were excluded. A standardized surgical protocol was employed, including enucleation, curettage, peripheral ostectomy, and application of Carnoy's solution. Patients were monitored clinically and radiographically for bone regeneration, and dental implants were placed upon adequate bone formation. A five-year follow-up was conducted to assess the success of the implants and the absence of disease recurrence.
To replace the missing teeth, dental implants are the best option for rehabilitation. A total of 20 patients were found on retrospective analysis; however, 48 dental implants have been placed in 19 patients after six months of initial surgery and on the postoperative orthopantomogram evaluation in whom the complete disappearance of almost all the pathology and in all the patients sufficient amount of bone formation is present, for the implant placement. One patient had an implant failure possibly because of inadequate bone formation for the placement of implants.
All the implants were loaded secondarily and working well after the 5-year follow-up period and fulfilling complete aesthetic and functional needs of the patients. No recurrence in the pathology has been noticed.

PMID:
42422794
Bibliographic data and abstract were imported from PubMed on 09 Jul 2026.

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