Managing odontogenic keratocysts (OKCs) in children poses a challenge due to their rarity and potential recurrence. Often resembling other cystic lesions, such as radicular or dentigerous cysts, accurate diagnosis is essential. Typically, direct enucleation is performed, with biopsy confirming the OKC diagnosis. However, OKCs are known for their aggressiveness and high recurrence rates, warranting consideration of adjunctive treatments like chemical or electrochemical cauterization. Yet, caution is crucial to avoid damaging vital structures and tooth buds, complicating treatment decisions. Instead of immediate adjunctive therapy, regular follow-up is emphasized to monitor for recurrence. This case underscores the need for heightened awareness among dental professionals regarding OKC management in children. By promoting early detection and appropriate intervention, optimal outcomes can be achieved, ensuring the best possible care for pediatric patients with OKCs.