Odontogenic Keratocyst Diagnosis and Management: A Case Report

Odontogenic keratocyst (OKC) is a developmental, non-inflammatory, chronic cystic lesion of odontogenic origin which is considered aggressive due to its genetic abnormalities and biological behavior being consistent with neoplastic progression. OKC clinically appears as a swelling with or without pain, occurring in the jaw bones with greater predilection towards mandible. Radiographically appearing as unicystic or multicystic radiolucency with anteroposterior growth of the lesion in the medullary spaces. Histologically the presence of parakeratin and the ‘picket fence’ appearance of the basal cell layer is unique to this lesion. Various treatment modalities have been put forth but no specific treatment has been regarded as the best. The goal of this paper is to create awareness about the aggressive nature of the OKC and to throw a light on its management