PMC5573530_01
Panoramic radiograph showing the lesion in the right maxillary region.
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Panoramic radiographs revealed the loss of trabecular structure and a ground-glass appearance between the right first incisor and second molar (Figure 1).
Axial view of the computed tomography
showing the lesion's ground-glass appearance and position
between the right central incisor and second molar.
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Computerized tomography (CT) confirmed the ground-glass appearance, and revealed the horizontal expansion of the crest in the premolar -molar area (Figure 2).
Anastomosis of new bone in the stroma consisting
of fibrocytes, fibroblasts, and new mesenchymal cells. H & E
stain, 200x magnification.
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A biopsy sample was obtained from the lesion, and histopathologic analysis revealed irregular immature bone trabeculae in the fibrous stroma (Figure 3).
Bone scintigraphy showing theincreased uptake
at right maxillary region.
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Bone scintigraphy revealed that the lesion was monostotic and is limited to the right maxillary region (Figure 4).
Intraoral image showing the expanded
alveolar crest.
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After 1 year, buccal and palatal expansion of the lesion was observed (Figure 5).
Panoramic radiograph obtained 1 year after surgery.
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Panoramic radiographs obtained at that time were found to be similar to those obtained initially (Figure 6).
View of the lesion, prior to the second surgery.
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A second operation was performed (Figure 7), after which the patient continued to attend routine follow-up assessments.