PMC5824523_01
Extraoral facial asymmetry on left side of face
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F1
Extraoral examination revealed facial asymmetry with a diffuse swelling on the left side of face, extending from ala-tragus line to lower border of mandible measuring approximately of size 5 cm x 6 cm [Figure 1].
Orthopantomograph revealed multilocular radiolucency on left side extending from 35 to condylar process
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F2
Perforation of lingual cortex at 37 region and root resorption in relation to 37 with impacted 38 was also noticed [Figure 2].
Computed tomography scan revealing buccal and lingual cortical expansion with cortical perforation at 37 region
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F3
Computed tomography scan revealed buccal and lingual cortical expansion with cortical perforation at 37 region [Figure 3].
Surgically excised specimen
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F4
The complete lesion was surgically removed along with normal tissue margins surrounding the lesion [Figure 4], and the excised specimen was sent for histopathological examination.
(a) Macroscopic specimen, (b) Specimen with impacted tooth
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F5
The specimen was roughly rectangular in shape, hard in consistency with smooth surface, and well-defined borders [Figure 5a]. Inside, the bony cavity gelatinous material was present which is light green in color [Figure 5b].
(a) Dentigerous cyst epithelial lining, (b) Lining revealing V and G criteria, (c) Ameloblasotmatous follicle within the stroma, (d) Ameloblastomatous islands in the stroma along with cyst lining
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F6
The underlying connective tissue stroma shows odontogenic epithelial rests with focal areas of follicular ameloblastomatous islands [Figure 6].