ISSN 2756-3421
African Journal of Dentistry ISSN 2756-3421 Vol. 8 (8), pp. 001-007, August, 2020. © International Scholars Journals
Case Report
A diagnostic dilemma-endodontic lesion or keratocystic odontogenic tumor (KCOT): A case report
Rashmi Khanna1*, Rajeev Khanna2, Nagesh Binjoo3, H. L. Gupta1, Anand Dharams1 and Pradeep Kumar1
1Department of Periodontics, Rajasthan Dental College and Hospital, Jaipur, India.
2Department of Pharmacy, Swasthya Kalyan Homeopathy Medical College, Sitapura, Jaipur, India.
3Department of Oral Medicine and maxillofacial Radiology, Rajasthan Dental College and Hospital, Jaipur, India.
Accepted 15 May, 2020
Abstract
We present a case of keratocystic odontogenic tumor (KCOT) in maxillary canine region which was mistaken for a periapical lesion and was treated accordingly that is, root canal treatment of the teeth involved, was attempted, without checking for their vitality status. When the symptoms didn’t subside, the patient was operated under local anesthesia and the lesion was sent for histopathological examination which confirmed the diagnosis of an infected KCOT. Keratocystic Odontogenic tumor may look similar to endodontic lesions.Clinicians should carefully review the cases and consider surgical intervention with biopsy in cases that do not heal.
Key words: Keratocystic odontogenic tumor, Peri-apical lesion, odontogenic keratocyst, lateral periodontal cyst.