Multiple Odontogenic Keratocysts Suggesting Gorlin-Goltz Syndrome on Orthodontic Evaluation

A 10-year-old male presented for an orthodontic evaluation with no reported symptoms. The radiologist identified multiple odontogenic keratocysts and noted findings consistent with possible basal cell nevus syndrome (Gorlin-Goltz syndrome). The number of lesions was unusual, and the upper third molar follicles were noted migrating toward the superior borders of both maxillary sinuses.