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An odontogenic keratocyst is a rare and benign but locally aggressive developmental cyst. It most often affects the posterior mandible and most commonly presents in the third decade of life. [1] Odontogenic keratocysts make up around 19% of jaw cysts. [2] Despite its more common appearance in the bone region, it can affect soft tissue. [3]
Keratocyst; Calcifying odontogenic cyst. According to the current (2005) classification of the World Health Organization, both (parakeratizied) odontogenic keratocyst and calcifying odontogenic cyst have neoplastic characteristics, thus renamed as Keratocystic odontogenic tumor and Calcifying odontogenic tumor, respectively. Cystic ameloblastoma
Relative incidence of odontogenic cysts. [14] Periapical cysts are labeled at left. Periapical cysts comprise approximately 75% of the types of cysts found in the oral region. The ratio of individuals diagnosed with periapical cysts is 3:2 male to female, as well as individuals between 20 and 60 years old. Periapical cysts occur worldwide.
Odontogenic keratocysts do not result in the same degree of bony expansion as dentigerous cysts and teeth resorption are less likely to be seen in association with odontogenic keratocysts. In addition, dentigerous cysts are more likely to have smooth periphery and odontogenic keratocysts are more likely to display a scalloped periphery. [29]
The exception to these treatments; is the management of cysts which have a higher rate of recurrence – for example odontogenic keratocysts. Options to reduce the recurrence rate include: curettage post enucleation, Carnoy's solution (treatment of the cavity with a potent fixative) or mandibular resection .
A glandular odontogenic cyst (GOC) is a rare and usually benign odontogenic cyst developed at the odontogenic epithelium of the mandible or maxilla. [2] [8] [9] [10] Originally, the cyst was labeled as "sialo-odontogenic cyst" in 1987. [7] However, the World Health Organization (WHO) decided to adopt the medical expression "glandular ...
Under microscopes, the cyst looks like an odontogenic keratocyst (also called a Keratocyst odontogenic tumor) whereby the lesions displays a parakeratinized epithelium with palisading basal epithelial cells. The term "Primordial cyst" is considered an outdated term and should be avoided.
Calcifying odontogenic cyst (COC) is a rare developmental lesion that comes from odontogenic epithelium. [2] It is also known as a calcifying cystic odontogenic tumor , which is a proliferation of odontogenic epithelium and scattered nest of ghost cells and calcifications that may form the lining of a cyst , or present as a solid mass.