Many Faces of OKC!! A Diagnostic Dilemma: OKC or Lateral Periodontal Cyst? Vinayak Vidhi1, Mamatha GP2, Mittal Sachin1, Kumar Mukesh3, Grover Sonal4, Patel Hashikesh A5 1Assistant Professor, Department of Oral Medicine and Radiology, Shree Bankey Bihari Dental College & Research Centre, Ghaziabad, Uttar Pradesh 2Professor, Department of Oral Medicine and Radiology, College of Dental Sciences, Davangere, Karnataka 3Assistant Professor, Department of Oral and Maxillofacial Surgery, Shree Bankey Bihari Dental College, Ghaziabad, Uttar Pradesh 4Assistant Professor, Department of Oral Pathology & Microbiology, Christian Dental College, CMC, Ludhiana, Punjab 5Postgraduate student, Department Oral and Maxillofacial surgery, Navodaya Dental college, Raichur Online published on 24 April, 2013. Abstract Distinguishing OKCs from other jaw cysts is essential as it is considered as benign neoplasm and show high epithelial proliferative index. OKC has generated considerable controversy with regard to its true nature. It exhibits paradoxical behavior and may have clinicopathologic features of both simple cysts and benign neoplasms Introduction Clinical and radiographic presentation of OKCs, poses a major diagnostic dilemma as they can be located periapically, simulating periapical cyst; surrounding the crown of unerupted teeth, simulating dentigerous cyst; between the roots of teeth, simulating lateral periodontal cyst or lateral radicular cyst; or in the maxillary midline, simulating nasopalatine duct cysts.1 Distinguishing OKCs from other jaw cysts is essential as it is considered as benign neoplasm and show high epithelial proliferative index. OKC has generated considerable controversy with regard to its true nature. It exhibits paradoxical behavior and may have clinicopathologic features of both simple cysts and benign neoplasms. Top Keywords Lateral Periodontal Cyst, OKC, Cloudy Milky Way. Top |