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Oral Pathology

Odontogenic Cysts: Radicular, Dentigerous & OKC — Clinical & Radiographic Features

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Odontogenic Cysts: Radicular, Dentigerous & OKC — Clinical & Radiographic Features covers everything examiners typically test under Oral Pathology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

CystOriginRadiographic AppearanceKey Feature
Radicular (periapical) cystRests of Malassez, stimulated by non-vital toothWell-defined unilocular RL at root apexMOST COMMON odontogenic cyst; non-keratinized epithelium, arcading rete ridges, cholesterol clefts
Dentigerous cystReduced enamel epithelium around unerupted crownUnilocular RL attached at CEJ, envelops crown2nd most common; classic with impacted mandibular 3rd molar/maxillary canine; can transform to ameloblastoma or mucoepidermoid carcinoma
Odontogenic keratocyst (OKC)Dental lamina remnantsMultilocular, posterior mandible/ramus, grows along medullary boneParakeratinized lining, corrugated surface, high recurrence, daughter/satellite cysts; multiple OKCs = Gorlin-Goltz (NBCCS) syndrome
Lateral periodontal cystDental lamina restsRL lateral to root, mandibular premolar regionBotryoid odontogenic cyst = multilocular variant
Nasopalatine duct cystNasopalatine duct epithelial remnantsHeart-shaped RL between maxillary central incisorsMost common NON-odontogenic cyst of jaws
Mnemonic: "RADICULAR = Rests of malassez, After root death" (non-vital tooth trigger). "DENTIGEROUS = Around the crown, at the CEJ." OKC = "Keratocyst Keeps Coming back" (highest recurrence).
HY: Radicular cyst is the single MOST COMMONLY tested odontogenic cyst (from rests of Malassez). OKC was reclassified by WHO in 2017 from tumour (KCOT) back to cyst - a frequently updated exam point. Multiple OKCs + bifid rib + calcified falx cerebri = Gorlin-Goltz syndrome.
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