Article: Volume 46 Number 11 Page 1056 - December 2019

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  Dent Update 2019; 46: 1056-1061

Orthodontics:  The Orthodontic-Surgical Management of a Patient with Gorlin Syndrome: a Case Report

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Abstract: This case report describes the management of a patient following the incidental finding of multiple odontogenic keratocysts on an orthopantomogram by the patient’s general dental practitioner (GDP). The cysts were extensive and had caused considerable displacement of the unerupted permanent teeth. Following marsupialisation, the teeth were aligned orthodontically. This article describes the features of odontogenic keratocysts, the associated Gorlin syndrome, and the management options available. The importance of close collaboration between the Oral and Maxillofacial Surgical and Orthodontic teams is highlighted.

Clinical relevance: Odontogenic keratocysts are benign but locally aggressive jaw cysts. They occur most commonly as solitary lesions in the jaws of healthy individuals, but may also be a feature of Gorlin syndrome. In young patients there is potential for severely displaced teeth to improve their position spontaneously and erupt.

Author notes: Madeleine Storey, BDS(Hons), MFDS, MRes, MOrth, Post CCST Registrar in Orthodontics, Manchester Foundation Trust (email:, Susi Caldwell, BDS, MFDS, MDSc, MOrth, FDS(Orth), Consultant in Orthodontics, Manchester Foundation Trust, Simon Watkinson, BDS, MFDS, DDSc, MOrth, FDS(Orth), Consultant in Orthodontics, East Lancashire NHS Trust and Manchester Foundation Trust and Manu Patel, BDS, FDS, LRCP, LRCS, LRCPS, FRCS, Consultant in Oral and Maxillofacial Surgery, Manchester Foundation Trust, Oxford Road, Manchester M13 9WL, UK.

Objective: To understand the clinical implications of odontogenic keratocysts, the potential association with Gorlin syndrome, and the requirement for interdisciplinary management.

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