Slusarenko da Silva Y, Naclério-Homem MG (2018) Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice. Int J Oral Dent Health 4:070.


© 2018 Slusarenko da Silva Y, Naclério-Homem MG. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2469-5734/1510070

Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice

Yuri Slusarenko da Silva* and Maria da Graça Naclério-Homem

Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis, University of São Paulo, Brazil



Odontogenic Keratocyst (OKC) is a locally aggressive odontogenic cyst with a high recurrence rate after treatment. Several conservative surgeries have been suggested in the treatment of Keratocysts but working with an overview of the practice may render better outcomes.


We conducted a literature review in the databases MEDLINE, Web of Science, Scopus, Cochrane Library and Google Scholar as well as in the gray literature (books and thesis) for studies reporting on the pathogenesis, clinical presentation, imaging, diagnosis and treatment modalities of OKC's.


Features of OKC's are discussed in light of literature in order to establish the best protocol in the diagnosis, treatment planning and treatment itself.


OKC's deserve special attention over other regular, ordinary, odontogenic cysts. Radiographs and CT-scans in the assessment of OKC's, preoperative histological diagnosis and enucleation of OKC's followed by the application of Carnoy's and excision of the overlying mucosa in the region of attachment of the oral mucosa to the cyst is usually an appropriate protocol in the treatment of the OKC.