Modified Conservative Technique of Odontogenic Keratocyst Treatment With Long-Term Follow-Up: A Case Report

An odontogenic keratocyst is a benign developmental cyst that affects the jawbone and has aggressive characteristics. Compared to other odontogenic cysts, it has a high recurrence rate. Standardized treatment protocols for this cyst remain a topic of debate. This case report describes a 42-year-old Saudi male patient with a recurrent odontogenic keratocyst involving a mandibular right angle. The patient underwent conservative treatment involving a modified technique utilizing a specially designed, custom-made soft tray to keep the surgical site open for potential re-curettage, aimed at reducing the chances of recurrence. The cystic lesion was effectively and successfully treated with no recurrence observed throughout the six-year follow-up period, emphasizing the importance of close monitoring and follow-up in managing odontogenic keratocysts.