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Natl J Integr Res Med. 2014; 5(5): 70-76

Odontogenic Keratocyst- The Controversies in Nomenclature and Treatment Modalities

Dr Deval Mehta*, Dr Sonal Madan**, Dr Ankit Shah***, Dr Ekta Mistry****.

Summary: Odontogenic keratocysts (OKC) now officially known as Keratocystic odontogenic tumor
(KCOT) is a benign odontogenic intraosseous tumor which is potentially agrressive having distinguished clinical
and histopathological features. Based on a literature review, more aggressive treatment — either resection or
enucleation supplemented with Carnoy’s solution with or without peripheral ostectomy — results in a lower
recurrence rate than enucleation alone or marsupialization. WHO’s reclassification of this lesion from cyst to
tumour underscores its aggressive nature and should motivate clinicians to manage the disease in a
correspondingly aggressive manner. The purpose of this paper is to review and discuss the redesignation of
KCOT and the implications for treatment. [Maheta D NJIRM 2014; 5(5):70-76]

Key words: Odontogenic Kerotocyst, Keratocystic Odontogenic Tumor, jaw cysts, marsupialization, nucleation

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