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Incidentally Detected Odontogenic Keratocyst With Inconclusive Histopathology: A Case Report Emphasizing
Ghaida AlJamal1, Wlla E Al-Hammad1, Saleh N Almohammed2
1Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, 22110, Jordan, just.edu.jo.
Abstract:
Odontogenic keratocysts (OKCs) are locally aggressive developmental odontogenic cysts that may complicate diagnosis and management. A 61-year-old male underwent CBCT for implant planning. The scan showed a pericoronal lesion with a scalloped margin and minimal expansion suggestive of OKC. The lesion was enucleated; however, histopathology was inconclusive because of inflammation and recommended clinicoradiologic correlation. Follow-up was advised because of the lesion's recurrence potential. This case highlights the need for a systematic review of the full CBCT volume and multidisciplinary correlation when classic histologic features are obscured by inflammation.
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