Articles

Odontogenic Kerato Cysts: Clinical and Radiographic Presentations

Introduction: Odontogenic keratocysts (OKCs) are developmental odontogenic cysts of epithelial origin. The initial terminology for an odontogenic keratocyst (OKC) was “primordial cyst,” as the origin of the lesion was thought to be the tooth primordium. Objective: To determine the frequency of clinical features and radio graphical appearance of odontogenic keratocyst.

Subjects and methods: This Cross Sectional Study was conducted in Akhtar saeed trust hospital Lahore from 2020 to March 2021. A total of 216 patients of both genders with odontogenic keratocysts were included.  Patients with history of basal cell nervous syndrome, Orthokeratinized variant and treated cases were excluded. Clinical features and radio graphical appearance of odontogenic keratocyst was collected as per operational definition. Clinical features were noted under the supervision of a consultant with 3 years’ post fellowship experience. Data was collected and noted.

Results: Age range in this study was from 20 to 40 years with mean age of 29.629±3.87 years, mean weight 72.675±12.99 kg, mean height 1.556±0.10 meters, mean BMI 30.087±5.03 Kg/m2, mean duration of complain 8.555±2.49 months and mean pain score was 5.291±1.85. Majority of the patients (61.1%) belongs to 20-30 years age groups. While males were 56.9% as compare to females 43.1%. Pain was seen in 52.8% patients, facial asymmetry 69.4% and root resorption was 9.3%.

Conclusion: It is recommended to the general dental practitioners to have an overview of whole of the stomatognathic system, even if a patient comes for a single tooth problem.