Which type of cyst is commonly associated with the permanent dentition and may require intervention?

The odontogenic keratocyst is a type of cyst commonly associated with the permanent dentition. This particular cyst is known for its aggressive behavior and potential for recurrence, making it a significant concern in dental practice. It typically occurs in the mandible, particularly in the posterior region where the permanent teeth are located.

One of the reasons the odontogenic keratocyst may require intervention is due to its ability to grow and infiltrate surrounding tissues, which can lead to complications such as displacement of teeth or infection. The treatment often involves surgical enucleation and may include additional measures such as peripheral ostectomy to minimize the risk of recurrence. The need for monitoring post-treatment also highlights the importance of managing this type of cyst effectively.

In contrast, while the radicular cyst is more common and associated with non-vital teeth, it typically results from a chronic periapical infection, and its treatment is often straightforward, usually involving the extraction of the associated tooth or endodontic treatment. Central haemangiomas, although they can occur in the jaw, are vascular lesions rather than cysts and present differently from odontogenic keratocysts. Thus, understanding the aggressive nature of odontogenic keratocysts and their management is crucial in dental practice,