Unusual Case of Odontogenic Keratocyst with Atypical and Aggressive Behavior

However, At the beginning of the surgical procedure, before the initial incision, an aspiration puncture was performed, which resulted in a dense, whitish-colored liquid compatible with keratin. Thereafter the incision and curettage, the presence of a thin, friable fibrous capsule and cystic lumen containing white solid material compatible with keratin was observed. Thus, a new diagnostic hypothesis of odontogenic keratocyst was established.

The lesion was enucleated and a diagnosis of OKC was determined after histopathological evaluation. The treatment of choice was the complete enucleation of the cyst. The OKC has a high rate of recurrence and, so, it is necessary to know the various risk factors that can influence the reappearance of the injury.

The authors revealed that the method of treating OKC is a controversial subject that generates much discussion.

Therefore, they concluded that "the present case demonstrated that the odontogenic keratocyst can present atypical behavior and characteristics, with the presence of bone cortical expansion, displacement of teeth, facial asymmetry and painful symptoms."