Scanning and transmission electron microscopy of odontogenic keratocysts

The ultrastructural characteristics of the superficial cells of the epithelial lining of odontogenic keratocysts were studied. Examples of both the parakeratinized type and the less common orthokeratinized variant were examined. Scanning electron microscopy reveals that the morphology of the two cyst types is distinctly different. In parakeratinized cysts the transition of the epithelial cells into parakeratin is readily apparent and the epithelial surface is sparsely covered with parakeratin squames. In the orthokeratinized type the surface morphology is more uniform and is entirely covered with a leafy layer of keratin squames. The morphologic differences between the parakeratinized and orthokeratinized cysts may reflect differences in their biologic behavior.