en Oral & maxillofacial surgery Oral & maxillofacial surgery Case report <div> <table align="center" hspace="0" vspace="0"> <tbody> <tr> <td style="padding: 0in 12px; text-align: justify;" valign="top"><span style="font-size:13pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="font-family:" verdana=""><span style="color:#2e74b5">Background and Aim</span></span></span></b><b><span style="font-size:9.0pt"><span style="font-family:" verdana=""><span style="color:#2e74b5">:</span></span></span></b><b> </b><a name="_Hlk109212896"><span style="font-size:9.0pt"><span style="font-family:" verdana="">A developing odontogenic cyst known as odontogenic keratocyst (OKC) originates from the remains of dental lamina. Its aggressive pattern of expansion and high recurrence rate differentiate it from other odontogenic cysts.</span></span></a><span style="font-size:9.0pt"><span style="font-family:" verdana=""> Herein, we describe a large OKC in the mandibular ramus, close to the condyle, in a juvenile patient with a third molar crypt.&nbsp; Age and sex of patient, and size, location, and fast development of this lesion were different compared with previously reported OKCs. Our management strategy aimed to maintain the mandible&#39;s natural dentition, form, function, and continuity. &nbsp;&nbsp;</span></span></span></span><br> <span style="font-size:13pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="font-family:" verdana=""><span style="color:#2e74b5">Case Presentation:</span></span></span></b><span style="font-size:9.0pt"><span style="font-family:" verdana=""> The conservative strategy of marsupialization and decompression, which results in final total clearance of the cystic lesion, is one of the treatment strategies for OKC. Segmental resection, en bloc, and complex procedures are other treatment options. Surgical enucleation of the lesion and subsequent marsupialization were conducted effectively in this case. After a lengthy follow-up, there was no recurrence. </span></span></span></span></td> </tr> </tbody> </table> </div> <div style="text-align: justify;"><b><span style="font-size:9.0pt"><span style="font-family:" verdana=""><span style="color:#2e74b5">Conclusion:</span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:" verdana="">A detailed comprehension of the nature of the lesion supported by a strong clinical history and cutting-edge radiography may greatly aid the physician in making the appropriate treatment decision for patient&#39;s long-term interests.</span></span></div> Odontogenic Cysts, Mandible, Molar 57 61 http://jrdms.dentaliau.ac.ir/browse.php?a_code=A-10-969-1&slc_lang=en&sid=1 Gaurav Gupta dr.gauravgupta99@gmail.com 100319475328460011389 000000033895059X Yes Department of Pediatric and Preventive Dentistry, Jaipur Dental College, Private practice at Wisdom Dental Clinics, Jaipur, Rajasthan, India Dinesh Kumar Gupta 100319475328460011390 100319475328460011390 No Department of Oral and Maxillofacial Surgery, RUHS College of Dental Sciences, Wisdom Dental Clinics, Jaipur, Rajasthan, India Priyanka Gupta 100319475328460011391 100319475328460011391 No RUHSCDS Govt Dental College, Jaipur, Rajasthan, India Kuldeep Singh Rana 100319475328460011392 100319475328460011392 No Department of Conservative Dentistry and Endodontics, Government College of Dentistry, Indore, India Neeraj Chandra 100319475328460011393 100319475328460011393 No Department of Periodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India