Odontogenic Keratocyst (OKC)
Histogenesis
- Primordial Origin
Arises from dental lamina rests. - Dentigerous Origin
Arises from the reduced enamel epithelium of the dental follicle.
Notable Features
Clinical Features
- Peak Incidence: 2nd and 3rd decades.
- Male Predilection.
- Common Sites:
- Mandible: Majority occur in the ramus-third molar area, followed by 1st & 2nd molars, then anterior mandible.
- Maxilla: 3rd molar > cuspid region.
- Bony Expansion: Causes antero-posterior bony expansion.
- Some may rupture and leak keratin, causing pain and swelling due to an inflammatory reaction.
- Displaces the inferior alveolar nerve bundle to the inferior border but does not affect nerve sensation.
Radiological Features
- Unilocular Radiolucency: Most commonly seen.
- Multilocular Radiolucency: Represents a central cavity containing satellite cysts. Multilocularity is associated with larger lesions.
- Variants
- Replacement
- Envelopment
- Extraneous
- Collateral
Histological Features
Lined by stratified squamous epithelium with a flat epithelium-connective tissue junction (no rete ridges).
Parakeratinised Type:
- Corrugated surface.
- Basal cell layer: Hyperchromatic, cuboidal/columnar shape.
- Palisaded nuclei.
- Fibrous wall contains epithelial islands → central keratinisation → Daughter/Satellite cysts.
- Cystic lumen contains keratin.
Orthokeratinised Type:
- Thin lining with a flat orthokeratinised surface.
- Basal cells: Not hyperchromatic and not palisaded.
- Satellite cysts are absent, hence referred to as keratinizing odontogenic cysts.
- No recurrence.
Treatment Options
- Marsupialisation is followed by enucleation.
- Enucleation, followed by cryosurgery.
- Enucleation with adjunctive chemical cauterization using Carnoy’s solution alongside excision of the overlying attached mucosa.
- Radical excision: Reserved for multiple recurrent lesions.
Consultation
Looking for Cysts & Tumor Removal specialists?
Schedule a consultation with our expert surgeons at Richardsons Face Hospitals, India’s First Face Hospital, to discuss your goals, evaluate your suitability, and develop a customized treatment plan tailored to your unique needs.
Meet the Doctors
Meet the dedicated experts who help you look as vibrant and energized on the outside as you feel on the inside.
Dr. Sunil Richardson
MDS, DIP.N.B, MOMSRCPS
Dr. Shweta Richardson
BDS
Dr. Rosemary Mathew
Dr. Aprjeetha
Dr. Harish
Dr. Pearlin
Dr. Rishita Lamechwal
M.D.S.
Videos about Odontogenic Keratocyst (OKC)
Related videos about Odontogenic Keratocyst (OKC)
Odontogenic Keratocyst (OKC) Gallery
Browse our gallery to see how we turn back the clock, helping our patients look as vibrant and confident as they feel.
TMJ joint Reconstruction with Orthognathic Surgery
Smile Designing
Revision Nose Re-contouring Surgery
Orbital Tumour and Craniofacial Surgery
Nosejob Augmentative Rhinoplasty
Male Rhinoplasty
Single-Day Prosthesis
Facemakeover With Jaw Surgery and Nose Surgery
Facemakeover
Cosmetic Rhinoplasty
Testimonials
Real stories, radiant results: read firsthand experiences from our patients.
I took my son to Richardsons Face Hospital, Bengaluru for smile correction due to dental imperfaction . I am highly satisfied and very pleased with the treatment of my son and care he received. Dr. Rosemary Mathew and Dr. Pearlin Peter took great care of my son throughout the process.l am impressed by their dedication towards the patient.I would highly recommend all my friends and also those in search for best dental smile treatment and any other dental imperfactions.
I underwent facial feminization surgery at Richardsons Face Hospitals and had a smooth experience overall. From admission to discharge, the care provided was consistent and well-organized. The medical team explained procedures clearly, monitored recovery regularly, and addressed concerns when required. Nursing staff were attentive and supportive during the post-operative period.
The should improve the surgery coordination.
my experience was satisfactory, and I appreciate the care and professionalism shown during my treatment.
Excellent Experience at Richardson’s Face Hospital!
I’m extremely happy with my experience at Richardson’s Face Hospital. I had undergone hemangioma surgery, and the results were far better than I expected. Dr. Sunil Richardson and his entire team were very professional, caring, and supportive throughout the entire process.
They explained every step clearly, made me feel comfortable, and ensured that I was confident before the surgery. The post surgery care and follow up were excellent as well. The hospital was clean, well-equipped, and the staff were always friendly and attentive.
I’m truly thankful to the team for giving me such a positive and life-changing experience. Highly recommend Richardson’s Face Hospital to anyone Looking for safe and effective facial or cosmetic surgery!