Treatment options for odontogenic lesions vary, depending on the type of lesion and stage of growth. In some cases, medications may help, but odontogenic lesions usually require surgical removal. At Mayo, a pathologist examines the removed tissue during surgery and reports a diagnosis within a few minutes, so that the surgeon can act on this information immediately.
Keratocystic odontogenic tumors are slow-growing cysts often associated with impacted teeth, such as third molars, and can occur in anyone. Usually, if you have a keratocystic odontogenic tumor, you may be symptom-free and have the lesion discovered only after routine dental X-rays. Keratocystic odontogenic tumors may also be found in people with an inherited condition called nevoid basal cell carcinoma syndrome.
Depending on a number of factors, you may have one of these types of treatment:
Keratocystic odontogenic tumors have a potentially high recurrence rate after treatment.
If your doctor suspects that nevoid basal cell carcinoma syndrome (Gorlin-Goltz syndrome) is the cause of your cyst, your doctor may recommend screening for you and your family. People with nevoid basal cell carcinoma syndrome lack a gene that suppresses tumors and may also have other subtle developmental conditions such as extra ribs, facial bone abnormalities, multiple basal cell skin cancers and, less commonly, brain tumors. Screening for nevoid basal cell carcinoma syndrome may help in early detection and treatment of these conditions.
Other types of odontogenic tumors include: