PMC7503107_01
(a) Extraoral photograph. (b) Vestibular tumefaction regarding the 47; the recovering mucosa appears normal.
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The vitality of the other teeth was retained (Figure 1).
Preoperative orthopantomogram revealing a radiolucent lesion associated with radiopaque content regarding the 47.
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The contour of the deformed buccal bone as well as the integrity and position of the adjacent teeth was preserved (Figures 2 and 3).
CT coronal cross slides of right posterior mandible showing expansion of the vestibular cortical.
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The contour of the deformed buccal bone as well as the integrity and position of the adjacent teeth was preserved (Figures 2 and 3).
(a) Surgical access to the vestibular mandibular region showing bone deformation. (b) Minimal operative and atraumatic vertical osteotomy was performed by piezosurgery. (c) Intraoperative photograph following tumor exposure. (d) Surgical enucleation with curettage of the lesion; note the large defect and the exposition of the roots of the 47. (e) Surgical piece. (f) Flap repositioning and sutures.
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A curative antibiotic therapy, combining amoxicillin and metronidazole, was administered after repositioning the flap and sutures (Figure 4).
Healing 10 days postoperatively; complete healing of the soft tissue.
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Postoperative follow-up was carried out (Figures 5 and 6).
Periapical radiograph 10 days postoperatively; satisfactory radiological aspect with complete tumor removal.
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Postoperative follow-up was carried out (Figures 5 and 6).