PMC6563630_01
Clinical photograph showing swelling of the left paranasal area
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F1
On extraoral examination, there was a facial asymmetry with a solitary diffuse swelling on the left side near the nasolabial fold of size approximately 1 cm x 1 cm [Figure 1].
Intraoral photograph showing the swelling of the left maxillary vestibular area
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F2
Intraorally, there was a diffuse swelling of size approximately 3 cm x 2 cm present in the left side maxilla extending from the lateral incisors to the first premolar, obliterating the buccal vestibule [Figure 2].
Orthopantomogram showing the well-circumscribed radiolucent lesion with distinct, radiopaque margins, and the multiple impacted supernumerary teeth
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F3
The patient was advised to undergo orthopantomogram and cone-beam computed tomography (CBCT) imaging, which revealed a round unilocular radiolucent image of an intraosseous lesion with a well-defined border in the left maxilla extending from the periapical region of the lateral incisor to the mesial root of the first molar [Figure 3]. The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
Three-dimensional cone-beam computed tomography image showing the lesion and the associated impacted teeth
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F4
The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
Computed tomography scan showing circumscribed radiolucency with thin radiopaque margin encompassing a supernumerary tooth and the multiple impacted supernumerary teeth in both the jaws
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F5
The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
The whole of the excised lesion with the associated impacted teeth
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F6
The tumor was encapsulated and was attached with two impacted supernumerary teeth, which were fused and shaped as the maxillary premolars [Figure 6].
A connective tissue capsule lined by an odontogenic epithelial lining which is proliferating at one area
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F7
The inner wall of the cystic space was lined by an odontogenic epithelial lining [Figure 7].
The peripheral cells of the ductal pattern showing palisading arrangement
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F8
The peripheral cells of the ductal pattern showed a palisading structure and reversal of polarity [Figure 8].