Introduction

Odontogenic keratocysts are significant clinical entities due to their tendency for recurrence and aggressive behavior.  These cysts are known to have a high recurrence rate ranging between 13 to 60%.^5,6  Complete surgical removal is the treatment of choice.  An excellent reference for various modalities is by Voorsmit and Stoelinga where multiple surgical approaches with and without the use of Carnoy's fixative solution is recommended.  In brief, this study shows that Carnoy's solution is effective in reducing recurrence rate when patients were followed for two years.³²  Other investigators advocate marsupialization and occasionally resection for the more aggressive cysts that tend to perforate buccal and lingual bone.³³  Resection is a rare modality of treatment.  Conservative surgical removal and long-term follow-up is the treatment of choice by most clinicians.

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