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Odontogenic keratocysts presenting as periapical disease
Oral Surgery, Oral Medicine, and Oral Pathology
|October 1, 1983
Summary
Odontogenic keratocysts can mimic periapical cysts on X-rays. Microscopic analysis of periapical surgical samples is crucial for accurate diagnosis of these jaw cysts.
Area of Science:
- Oral pathology
- Dental radiology
- Surgical pathology
Background:
- Odontogenic keratocysts (OKCs) are common developmental cysts of the jaws.
- Periapical cysts typically arise from the apex of a tooth due to pulpal inflammation.
Observation:
- This study details four cases where OKCs presented with radiographic features resembling periapical cysts.
- The radiographic appearance of these OKCs was atypical, leading to potential diagnostic challenges.
Findings:
- The radiographic presentation of OKCs can be variable and may mimic other periapical lesions.
- Histopathological examination is essential for definitive diagnosis, distinguishing OKCs from periapical cysts.
Implications:
- Clinicians must consider OKC in the differential diagnosis of periapical lesions, even with typical radiographic features.
- Routine microscopic examination of all surgically removed periapical tissues is recommended to avoid misdiagnosis and ensure appropriate management.