Abstract
Odontogenic Keratocyst (OKC) is a locally aggressive odontogenic cyst with a high recurrence rate after treatment. Several conservative surgeries have been suggested in the treatment of Keratocysts but working with an overview of the practice may render better outcomes.
Highlights
The latest World Health Organization classification of Tumours of the Head and Neck (2017) reevaluated the concepts on the clinical, radiological and biological features of the Keratocystic Odontogenic Tumor (KCOT)Citation: Slusarenko da Silva Y, Naclério-Homem MG (2018) Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice
The Odontogenic Keratocyst (OKC) is potentially a very aggressive lesion (Figure 1) and this name change may bring about some confusion among surgeons and tends to lessen the alertness among surgeons to treat this lesion adequately [2]
The aggressiveness of the OKC may be attributed to the high mitotic index of the epithelial cyst lining as compared to regular odontogenic cysts [16]
Summary
The latest World Health Organization classification of Tumours of the Head and Neck (2017) reevaluated the concepts on the clinical, radiological and biological features of the Keratocystic Odontogenic Tumor (KCOT). The aggressiveness of the OKC may be attributed to the high mitotic index of the epithelial cyst lining as compared to regular odontogenic cysts [16]. Even though OKC’s are thought to be derived from remnants of the dental lamina, the epithelial cell nests and microcysts, often located in the oral mucosa overlying the alveolar ridges may be an important source of primary and recurrent OKC’s [17,18,19]. This is the case in the posterior region of the jaws. Several conservative surgeries have been suggested in the treatment of Keratocysts but working with an overview of the practice may render better outcomes
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