Descompresión de queratoquiste odontogénico con cánula impresa en 3D. Reporte de caso

Abstract

Introduction: The odontogenic keratocyst is a developmental epithelial cyst that comes from the remains of the dental lamina, of relatively high prevalence and aggressive behavior. In large lesions, it is possible to decompress by installing a 3D-printed cannula, which facilitates the subsequent enucleation of the cystic lesion. Objective: To present an alternative in decompression for the treatment of odontogenic keratocyst. Case presentation: A 26-year-old female patient presented an increase in volume in the right hemiface at the level of the middle and lower facial third after approximately one year of evolution. Imaging and histopathological studies were performed, and the diagnosis was odontogenic keratocyst. The treatment consisted of decompressing the lesion with the placement of a cannula designed in the Blender software and 3D-printed with BioMed Clear™ biocompatible resin. Then the enucleation and curettage of the remaining lesion were performed, plus the application of 5-fluorouracil as an adjuvant. In control studies, bone neoformation can be observed, with no data on recurrence. Conclusions: The 3D-printed cannula is a customized device that offers accuracy and precision in the treatment of decompression.