PMC5376921_01
Extraoral swelling present on the right side infraorbital region.
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A forty-five-year-old female reported to the Department of Conservative Dentistry and Endodontics, with the chief complaint of pain in #14 and #15 and extra oral swelling on the right side infraorbital region (Figure 1).
Intraoral image of #14 and #15 region shows no obliteration of buccal vestibule.
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There was no obliteration of the buccal vestibule in spite of the presence of extraoral swelling (Figure 2).
Intraoral periapical radiograph of #14 and #15 region shows coronal radiolucency in 14 (distal) and 15 (mesial). The radiolucency approximates to the pulp. There is also evidence of PDL widening in both teeth.
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Intraoral periapical radiographs (Figure 3) revealed coronal radiolucency extending into the pulp accompanied by widening of the periodontal ligament space in both #14 and #15.
Orthopantomograph shows coronal radiolucency in #14 and #15 with multiple edentulous spaces. No periapical radiolucencies were evident.
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Orthopantomographs (Figure 4) were advised to investigate the radiographic changes in relation to the extraoral swelling, but in vain.
(a) CT image of the lesion: right posterior maxillary region showing irregular soft tissue growth. (b) Coronal CT view in which the location of the haemangioma is being shown by an arrow.
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CT scans were taken which revealed an irregular soft tissue mass measuring 18 x 16 mm in the subcutaneous plane of the posterior maxillary region (Figures 5(a) and 5(b)) on the right side.
(a) and (b) showing obturation and 6-month follow-up radiographs, respectively.
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Protaper files (Dentsply-maillefer, Ballaigues) up to size F2 and obturated in a single visit (Figure 6(a)). Patient was reviewed after 1 week during which she was asymptomatic and postendodontic restoration was done with light cure composite resin (3M ESPE, USA). Patient continued to remain asymptomatic during follow-ups done at 3 and 6 months (Figure 6(b)) and was under her regular sclerotherapy sessions.