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Peripheral odontogenic keratocyst.

Rhonda D Preston1, Nagamani Narayana

  • 1Postgraduate Periodontics Program, College of Dentistry, University of Nebraska Medical Center, Lincoln, NE 68583-0740, USA. rpreston@unmc.edu

Journal of Periodontology
|December 8, 2005
PubMed
Summary
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This case report details a rare peripheral odontogenic keratocyst (OKC) on the maxillary gingiva. Further research is needed to determine if this variant exhibits the aggressive behavior of intraosseous OKC.

Area of Science:

  • Oral pathology
  • Odontogenic cysts
  • Gingival lesions

Background:

  • Odontogenic keratocyst (OKC) is a common jaw cyst with aggressive behavior.
  • Peripheral OKC is a rare variant, presenting outside the bone.
  • This paper focuses on a peripheral OKC in the maxillary anterior gingiva.

Observation:

  • A patient presented with a gingival nodule, initially mimicking other lesions.
  • Excisional biopsy revealed contents consistent with OKC.
  • Histopathology confirmed a peripheral OKC diagnosis.

Findings:

  • Only 13 cases of peripheral OKC have been documented globally.
  • The clinical behavior and recurrence rate of peripheral OKC remain largely unknown.
  • This case adds to the limited literature on peripheral OKC.

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Implications:

  • Early identification and differential diagnosis are crucial for peripheral OKC.
  • Conservative management was employed, with close follow-up planned.
  • This case contributes to understanding and managing peripheral odontogenic keratocysts.