Uncommon case report of maxillary sporadic odontogenic keratocyst

Abstract

The odontogenic keratocyst (OKCs) is a rare disease manifested in the maxillofacial region, mainly affecting the mandiblerather than maxilla and is associated with the presence of a retained tooth. Most cases are asymptomatic, affecting males than women in their second decade of life and patients may present pain or soft tissue swelling in infected OKCs. Bony expansion and paresthesia of the lips are reported in fewer cases. The most common region in the maxillae is the third molar and cuspid region. The objective of this report is to present an uncommon clinical case of a 72 years old male with asymptomatic OKCs in the left maxilla region, presenting with bone lysis in the vestibular and palatine region with nostril alloy without compromising the teethes. Patient was treated with enucleation and peripheral osteotomy using a rotary instrument, today day without recurrence. A simple review of cases with maxillary keratocyst was made too.