Odontogenic keratocyst (O) is the second most common odontogenic cyst in the oral cavity accounting for 10% of all cysts. Controversies regarding its tumor-like behavior, recurrences, and management have been the reason for this cyst to be exclusive unlike any other odontogenic cyst. In recent literature, the once named keratocystic odontogenic tumor has again been renamed as OKC, thus establishing it as a cyst with an aggressive behavior. In this article, we describe the conservative and radical treatment options for this tumor-like cyst.
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