Abstract
Odontogenic keratocyst (OKC) is considered a variation of a developmental odontogenic cyst, owing to its clinical behavior, histopathological aspect, and high relapse rate. It is known to affect individuals between 10 and 40 years of age, and the posterior region of the mandible is the most affected site. This present study reports the case of a 53-year-old woman, who presented with the chief complaint of increase in gum volume. During the intraoral examination, a well-defined, circumscribed, normochromic nodule located between elements 43 and 44 was observed, causing tooth displacement. A radiographic examination revealed a well-defined radiolucent, unilocular area. An excisional biopsy was performed and microscopically, a pathological parakeratinized odontogenic epithelial lined cavity was observed, leading to the diagnosis of OKC. The proposed treatment was conservative, a total enucleation. The patient is under follow-up for 1 year, without signs of recurrence.
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