The odontogenickeratocyst is a mysterious developing cyst that requires extra care. It possesses typical histological and clinical characteristics, but its aggressive activity and high recurrence rate set it apart. A benign odontogenic cyst that often affects the mandible is known as an odontogenickeratocyst. Surgeons and pathologists have had a difficult time dealing with these lesions.
OKC was categorised as a cystic lesion by WHO in 1971 and 1991, but in 2005 it was reclassified as a benign lesion because to its aggressive behaviour, growth pattern, clinical, histological, and immunohistochemical nature. In 2017, WHO head and neck pathology reclassified it as a cystic lesion. [1]
There have been a few situations where the maxilla has been affected. Odontogenickeratocysts may damage the maxillary posterior and canine region, according to research.
The present case describes an odontogenickeratocyst that crossed the midline in the maxillary incisor region and was initially classified as an infectious residual cyst. It was diagnosed as an odontogenickeratocyst after a thorough examination.