A rare case report of orthokeratinized odontogenic keratocyst associated erupting complex odontome with impacted mandibular molar

Abstract

Odontogenic keratocyst is a cyst of dental origin with an aggressive clinical behavior, having high recurrence rate. Odontomas are hamartomatous lesions composed of mature enamel, dentin, and pulp and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. They are the most common benign odontogenic tumors, constituting 22% of all odontogenic tumors of the jaw. We present a case report of a 19-year-old female with infected odontogenic keratocyst associated with the impacted mandibular second molar with the odontome and a submandibular space infection. However, there are very few case reports in the literature of the simultaneous occurrence of these two lesions, and hence this case is very rare. It is unclear whether the two lesions were just coincidental or were actually related to each other.