Regezi

In the early stages of formation, COCs may have little or no mineralization and therefore may present as
radiolucencies. The differential diagnosis in these instances includes dentigerous cyst, OKC/KCOT, and
ameloblastoma. In later stages, when a mixed radiolucent-radiopaque appearance is present, a differential
diagnosis would include adenomatoid odontogenic tumor, a partially mineralized odontoma, calcifying
epithelial odontogenic tumor, and ameloblastic fibro-odontoma.

Pharoah
Differential Diagnosis
When no internal calcifi cations are evident and this lesion has a pericoronal
position, it may be indistinguishable from a dentigerous cyst.
Other lesions that have internal calcifi cations to be considered include
an adenomatoid odontogenic tumor, ameloblastic fi bro-odontoma,
and calcifying epithelial odontogenic tumor. The common location
for the CCOT is not common for either the fi bro-odontoma or the
calcifying epithelial odontogenic tumor. Finally, long-standing cysts
may have dystrophic calcifi cation, giving a similar appearance.