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Peripheral odontogenic keratocyst. A Case report.

María Hornillos-de Villota¹, Marta Mª Pampin-Martínez¹, Mª José Moran-Soto¹

¹Departamento de Cirugía Oral y Maxilofacial, Hospital Universitario La Paz. Madrid, Spain.

Journal of Clinical and Experimental Dentistry

|March 13, 2023

Summary

This summary is machine-generated.

Peripheral odontogenic keratocysts (OKCs) are rare benign cysts. This case report highlights their unusual presentation and reviews existing literature, noting their lower recurrence rate compared to intraosseous OKC.

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Area of Science:

Oral pathology
Odontogenic cysts
Head and neck surgery

Background:

Odontogenic keratocysts (OKCs) originate from dental lamina remnants.
Intraosseous OKCs are common in the mandible; peripheral OKCs are rare and poorly documented.
The etiology and characteristics of peripheral OKCs remain debated.

Observation:

A 58-year-old woman presented with a peripheral OKC in the left masticatory space.
Peripheral OKCs are found in soft tissues like the gingiva, mucosa, or even intramuscularly.
Only 15 cases of peripheral OKC have been previously described in literature.

Findings:

Peripheral OKC diagnosis is uncommon, with limited existing literature.
Differential diagnosis includes gingival cysts, mucoceles, and epidermoid cysts.
Soft tissue OKCs exhibit significantly lower recurrence rates (12.5%) than intraosseous counterparts (62%).

Implications:

This case contributes to understanding the rare peripheral odontogenic keratocyst.
Awareness of peripheral OKC is crucial for accurate diagnosis and management.
Lower recurrence rates suggest potentially different biological behavior compared to intraosseous OKC.