{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:39:03Z","timestamp":1787027943229,"version":"build-2736575974"},"reference-count":27,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Introduction: Odontogenic keratocyst (OKC) is a locally aggressive cystic lesion derived from remnants of the dental lamina. It is most commonly located in the posterior mandible, while maxillary involvement is rare and poses diagnostic and surgical challenges due to its proximity to critical anatomical structures. This case report describes the surgical management of a maxillary OKC with an uncommon localisation. Methods: A 50-year-old male presented with an asymptomatic swelling in the posterior maxilla. Cone beam computed tomography (CBCT) revealed a well-defined unilocular radiolucency extending toward the maxillary sinus floor. Surgical management included complete enucleation and peripheral curettage, followed by histopathological confirmation. The defect was left to heal naturally through bone regeneration without the need for grafting. Results: Intraoperatively, a thin pearly white cystic capsule and buccal cortical thinning were observed, consistent with OKC. The lesion was enucleated intact, without rupture or sinus perforation. Histology confirmed the diagnosis. Postoperative healing was uneventful, with radiographic follow-up at one month showing favourable healing changes. Conclusions: Careful surgical planning combined with advanced imaging facilitates safe and effective management of OKCs in uncommon maxillary sites. Enucleation with peripheral curettage provided satisfactory short-term outcomes. Long-term follow-up remains essential due to the risk of recurrence.<\/jats:p>","DOI":"10.3390\/dj13110514","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T07:58:05Z","timestamp":1762329485000},"page":"514","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical Management of a Maxillary Odontogenic Keratocyst: A Clinical Case Report"],"prefix":"10.3390","volume":"13","author":[{"given":"Ioan","family":"S\u00eerbu","sequence":"first","affiliation":[{"name":"Discipline of Implanto-Prosthesis Therapy, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, District 2, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ionut Cosmin","family":"Nisipasu","sequence":"additional","affiliation":[{"name":"Discipline of Implanto-Prosthesis Therapy, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, District 2, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Savino","sequence":"additional","affiliation":[{"name":"Private Practice, Via San Marco, Via II Vinella, II, 8, 81028 Santa Maria A Vico, CE, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0150-0613","authenticated-orcid":false,"given":"Andreea Mihaela","family":"Custura","sequence":"additional","affiliation":[{"name":"Discipline of Dental Prostheses Technology, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, District 2, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisei Adelin","family":"Radu","sequence":"additional","affiliation":[{"name":"Discipline of Dental Prostheses Technology, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, District 2, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Nastasie","sequence":"additional","affiliation":[{"name":"Doctoral School, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6267-2406","authenticated-orcid":false,"given":"Valentin Daniel","family":"S\u00eerbu","sequence":"additional","affiliation":[{"name":"Discipline of Implanto-Prosthesis Therapy, Faculty of Dentistry, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 37 Dionisie Lupu Street, District 2, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"ref_1","first-page":"3479","article-title":"The clinicopathological features and treatments of odontogenic keratocysts","volume":"12","author":"Chen","year":"2022","journal-title":"Am. 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