Dysplastic lining in odontogenic keratocyst: A unique and unanswered feature

Odontogenic keratocyst (OKC) is one of the most controversial and extensively studied and discussed odontogenic cyst among oral pathologists and surgeons due to its aggressive behavior and high recurrence rate. Recurrence of OKC is attributed to clinical aspects per se, surgical skill and treatment option or histopathological reasons have been extensively discussed in various literature. Although malignant transformation in OKC has been reported, little is known regarding dysplasia alone in OKC epithelium. In this article, we have highlighted this histological feature which can give a hint in predicting malignant transformation. This may help the clinician to predict the prognosis of the disease and thereby improving the quality of life.