Keratocystic Odontogenic Tumor (KCOT) is a locally aggressive tumor with high recurrence rate, and has a distinct and characteristic histologic appearance contributing to such aggressiveness and recurrence. Such wild nature of this tumor had led to even more aggressive treatment modalities in the past. Better understanding of the nature of this tumor allowed for simpler approaches including enucleation with or without adjuvant therapy, and decompression with or without residual cystectomy. Dredging technique is one of the least invasive treatment modalities suggested for the management of KCOT. In this study following our preliminary reported outcomes, we here within report a five-year follow-up of 28 mandibular KCOT cases (age range 14-43 years; mean 28.5years) with ZERO recurrence.