Metaplastic Epithelium in an Odontogenic Keratocyte. A Case Report

Abstract

The diagnostic dilemma is possessed when one lesion that mimics the other.1One of the most prevalent pathologic disorders in the alveolar bone are periapical lesions, which arise from necrotic tooth pulp.2 . Multiple pathogenic entities are included in odontogenic cysts of the jaws. “A benign uni- or multicystic, intraosseous tumour of odontogenic origin, with a characteristic lining of parakeratinized stratified squamous epithelium and potential for aggressive, infiltrative behaviour,” is the definition of keratocystic odontogenic tumour (KCOT).” There are two important diagnostic problems with OKC. Firstly, they frequently exhibit active epithelial growth, leading some experts to speculate that they would be better classified as neoplasms rather than cysts. Second, two patterns of occurrence are recognized: single (or irregular) and as a part of the BCNS.3 Numerous investigations have focused on the aggressive clinical behavior and frequent recurrence after curettage, suggesting that the OKC epithelial lining may have some intrinsic growth capacity.5 This case of an odontogenic keratocyst with changed epithelial activity that mimics a radicular cyst is presented in light of the epithelial behavior.