Published June 30, 2025 | Version v1

Maxillary Odontogenic Keratocyst with Secondary Infection: Diagnostic Dilemma and Surgical Management

  • 1. International Journal of Dental Science and Innovative Research (IJDSIR)

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Abstract

Odontogenic Keratocyst (OKC) is a benign but locally aggressive cystic lesion of odontogenic origin, most commonly found in the mandible. Presentation in the maxilla, particularly with secondary infection, is less frequent and may mimic other cystic lesions. This case report describes a 25-year-old female presenting with a history of swelling in the right half of the palate following extraction of a grossly decayed maxillary first molar. Clinical and radiographic findings led to a provisional diagnosis of odontogenic keratocyst, which was confirmed by histopathology following surgical enucleation. The post-operative course was uneventful. This case underscores the importance of considering OKC in the differential diagnosis of persistent palatal swellings, particularly in the setting of recent dental extractions, and highlights the role of histopathology in the definitive diagnosis.

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References

  • 1. Belmehdi A, Chbicheb S, Wady WE. Odontogenic Keratocyst Tumor: A Case Report and Literature Review. Open J Stomatol. 2016 Jul 14;6(7):171–8. 2. El-Naggar AK, Chan JKC, Takata T, Grandis JR, Slootweg PJ. The fourth edition of the head and neck World Health Organization blue book: editors' perspectives. Hum Pathol. 2017 Aug;66:10–2. 3. MacDonald-Jankowski DS. Keratocystic odontogenic tumour: systematic review. Dento Maxillo Facial Radiol. 2011 Jan;40(1):1–23. 4. Shear M, Speight P. Cysts of the Oral and Maxillofacial Regions [Internet]. 1st ed. Wiley; 2007 [cited 2025 May 24]. Available from: https://onlinelibrary.wiley.com/doi/book/10.1002/9780470759769 5. Bataineh AB, al Qudah M. Treatment of mandibular odontogenic keratocysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jul;86(1):42–7. 6. Browne RM. The odontogenic keratocyst. Histological features and their correlation with clinical behaviour. Br Dent J. 1971 Sep 21;131(6):249–59. 7. Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995 Jan;79(1):77–81. 8. Madras J, Lapointe H. Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. J Can Dent Assoc. 2008 Mar;74(2):165–165h. 9. Blanas N, Freund B, Schwartz M, Furst IM. Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Nov;90(5):553–8. 10. Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocysts and the behavior of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2006 Jan 1;101(1):5–9. 11. Ahlfors E, Larsson A, Sjögren S. The odontogenic keratocyst: a benign cystic tumor? J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1984 Jan;42(1):10–9. 12. Shear M. The aggressive nature of the odontogenic keratocyst: is it a benign cystic neoplasm? Part 1. Clinical and early experimental evidence of aggressive behaviour. Oral Oncol. 2002 Apr;38(3):219–26. 13. Dashow JE, McHugh JB, Braun TM, Edwards SP, Helman JI, Ward BB. Significantly Decreased Recurrence Rates in Keratocystic Odontogenic Tumor With Simple Enucleation and Curettage Using Carnoy's Versus Modified Carnoy's Solution. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2015 Nov;73(11):2132–5.