Alveolar Odontogenic Keratocyst: A Report of Two Cases

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  • KOMATSU YUKO
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • MIYAMOTO IKUYA
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • IIJIMA SHIN
    Department of Oral and Maxillofacial Surgery, Tochinai Second Hospital
  • YAMAYA GENKI
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • OHASHI YU
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • TSUNODA NAOKO
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • ABE RYOSUKE
    Department of Oral and Maxillofacial Surgery, Iwate Prefectural Central Hospital
  • ISHIBASHI SHU
    Department of Oral and Maxillofacial Surgery, Hachinohe Red Cross Hospital
  • TAKEDA YASUNORI
    Division of Clinical Pathology, Department of Reconstruction Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • YAMADA HIROYUKI
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

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Other Title
  • 歯槽骨に発生した歯原性角化囊胞の2例

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Description

An odontogenic keratocyst （OKC） limited to the alveolar bone has never been reported. Herein, we report the first two cases of OKCs located in the mandibular alveolar bone in two adults. Radiographic examination revealed a solitary, mostly well-circumscribed radiolucency between the roots of the first and second premolars in patient 1 and between the roots of the canine and first premolar in patient 2. The histological appearance of the lesions supported the diagnosis of OKC. The rarity of this lesion and its resemblance to the more common peripheral OKC and lateral periodontal cyst may cause a diagnostic dilemma during the preoperative period.

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