Oral & Maxillofacial Surgery Keratocystic Odontogenic Tumour: An Incidental Finding

B. Gunachandra Rai, Ashwin K Harekal, Niti Sarawgi

Abstract: OdontogenicKeratocyst is the second most common cyst after radicular cyst. In the year 2005, keratocysticodontogenic tumor was coined by WHO owing to its inclination more towards tumor than cyst. It was necessitated due to the aggressive behaviour of the lesion also associated with genetic and chromosomal variations consistent with progression towards neoplastic changes. In this case report, we present a young patient with KCOT involving a large section of mandible ( extending from 33 to 46). Any aggressive approach would have ensured extensive morbidity. Hence, we went for a conservative approach of enucleation with peripheral ostectomy and apicectomy of involved teeth followed by placement of Carnoys solution. This ensured no remnants of satellite cells. The patient has been on regular follow-ups with normal healing and no signs of recurrence.

Keywords: Okc, anterior mandible, chemical cauterzation, surgical enucleation