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.
We conducted a literature review in the databases MEDLINE, Web of Science, Scopus, Cochrane Library and Google Scholar as well as in the gray literature (books and thesis) for studies reporting on the pathogenesis, clinical presentation, imaging, diagnosis and treatment modalities of OKC's.
Features of OKC's are discussed in light of literature in order to establish the best protocol in the diagnosis, treatment planning and treatment itself.
OKC's deserve special attention over other regular, ordinary, odontogenic cysts. Radiographs and CT-scans in the assessment of OKC's, preoperative histological diagnosis and enucleation of OKC's followed by the application of Carnoy's and excision of the overlying mucosa in the region of attachment of the oral mucosa to the cyst is usually an appropriate protocol in the treatment of the OKC.