Abstract

Dr. Asif Nazir*, Dr. Muhammad Gulzar, Dr. Muhammad Shafique Ashraf, Dr. Wajeeha Ch, Dr. Samera Kiran and Professor Dr. Muhammad Usman Akhtar

ABSTRACT

Introduction: Odontogenic keratocyst (OKC) is a developmental cyst of epithelial origin. It has three histological variants: a parakeratinized variant, an orthokeratinized variant and combination of two. Clinically, they are usually asymptomatic, but may be associated with pain, swelling, displacement of teeth and root resorption in teeth neighboring to the tumor. Objective: To determine the frequency of clinical features and radiographic appearance of odontogenic keratocyst. Patients and methods: A total of 108 patients of both genders with biopsy proven odontogenic keratocysts were included in this study from Oral and Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan from June 2016 to May 2018. Patients with features of basal cell naevous syndrome and treated cases of odontogenic keratocysts were excluded from the study. The demographic details of all patients, clinical features and radiographic appearance of odontogenic keratocysts were noted in a structured proforma. Results: Age range in the current study was 10 to50 years with mean age of 29.63±3.87 years. Mean duration of complaints was 8.55±2.49 months and mean pain score was 5.29 ±1.85. Majority of patients (61.1%) belong to 20-30 years age group. Male patients were 56.9 % while female were 43.1%. Pain was seen in 52.8% patients, facial disfigurement in 69.4% and root resorption in 9.3% patients. Conclusion: It is recommended to have an overview of whole stomatognathic system even if a patient comes for a single tooth problem and have a routine radiographic checkup of stomatognathic system, especially for patients in 2nd and 3rd decades of life.