Incidentally Detected Odontogenic Keratocyst With Inconclusive Histopathology: A Case Report Emphasizing Clinicoradiologic Correlation

Odontogenic keratocysts (OKCs) are locally aggressive developmental odontogenic cysts that may complicate diagnosis and management. A 61-year-old male underwent CBCT for implant planning. The scan showed a pericoronal lesion with a scalloped margin and minimal expansion suggestive of OKC. The lesion was enucleated; however, histopathology was inconclusive because of inflammation and recommended clinicoradiologic correlation. Follow-up was advised because of the lesion's recurrence potential. This case highlights the need for a systematic review of the full CBCT volume and multidisciplinary correlation when classic histologic features are obscured by inflammation.