Orthokeratinized odontogenic cyst is a rare developmental cyst of the jaw region.OOC is now considered as an individual entity due to its different biologic behaviour. The purpose of this article is to present a rare case of OOC arising from three different areas ie. Right mandible , Left mandible and Left Maxillary Sinus in the same 15 year old female patient. The most intriguing part of this case is that all the three lesions displayed different clinical and radiological presentations.