Odontogenic Kerato-Cyst

– May best be regarded as a Benign Neoplasm rather than a Conventional Cyst based on its Clinical Behavior.

– The WHO has reclassified the Lesion as a Tumor based on several Factors .
1- Behavior :- Locally Destructive and Recurrence
rate is very High

2- H/P :- Basal Epithelial Layer of KOT shows
proliferation and budding into the underlying CT in the form of Daughter Cysts are frequently found in the Suprabasal Layers of the Lesional Epithelium

3- Genetics

C/P :-
1- Site :-
* Mandible is invariably affected more frequently than
the Maxilla
* In the Mandible, The Majority of the Cysts
occur in the Ramus-Third Molar Area , followed by the First
and Second Molar Area and then the Anterior Mandible
* In the Maxilla, the most common site is the Third Molar Area followed by the Cuspid Region

2- Age :-
* The cyst may occur at any Age, from the very Young to
the very elderly
* Rarely under the Age of 10 Years
* The peak incidence is in the Second and Third Decades of Life , with a Gradual Decline thereafter

3- Gender :-
* There is a Predilection for Occurrence in Males

4- S & S :-
* No characteristic Clinical Manifestations of the
Keratocyst
* Pain
* Soft-Tissue Swelling and Expansion of Bone
* Drainage and various Neurologic Manifestations such as Paresthesia of the Lip or Teeth
** The Maxillary OKC tends to be secondarily infected with greater frequency than the Mandibular
ones, due to its Vicinity to the Maxillary Sinus

Here Review the below Diagram Panoramic X-Ray View showing OKC in the Mandible Right Side at the Ramus Area 😊😄


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