Keratocystic Odontogenic Tumor-A Wolf in Sheep's Clothing!

Keratocystic odontogenic tumor or Odontogenic keratocyst is a benign but one of the most locally aggressive type of developmental odontogenic cyst. Due to its invasive abilities in the bone and its high recurrence rate, it shares features of a cyst or a neoplasm and continues to riddle clinicians and researchers. Clinical and radiological expertise lies in diagnosing such lesions which present themselves as a coincidental finding in a routine out patient department. We report an unusual occurrence of a Collateral Odontogenic Keratocyst between the roots of two mandibular molars.