DOI: https://doi.org/10.36347/sasjs.2025.v11i01.006

Pages: 26-30

Odontogenic keratocysts (OKCs) are benign cystic lesions of the jaws. They are aggressive with a relatively high recurrence rate. Most often they are discovered by chance during routine radiographic examination, they typically grow in an anteroposterior direction within the jawbone without causing significant expansion. OKCs generally occur in the second third, and fourth decades of life and are rare in pediatric patients. The management of these cysts is diverse and depends on several factors. The aim of the present study was to report an odontogenic keratocyst in a 13-year-old patient, associated with an impacted mandibular canine on the right side. The case was characterized by significant vestibulolingual expansion, a feature that differentiates it from typical presentations and underscores the importance of recognizing such variations in clinical practice. Management involved an initial decompression procedure, followed by subsequent enucleation of the lesion.