PMC5572577_01
Intraoral examination reveals the obliteration of buccal sulcus adjacent to molar teeth with buccal and lingual cortical expansion.
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On intraoral examination, obliteration of the buccal sulcus in molar region with buccal and lingual osseous cortical expansion was apparent (Figure 1).
Orthopantomogram reveals radiopaque lesion surrounded by a radiolucent zone extending anteriorly from the lower first molar region to body of the mandible posteriorly on the right side.
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Orthopantomogram (OPG) exhibited a large radiopaque lesion surrounded by a radiolucent zone, which extended anteriorly from the lower first molar region to body of the mandible posteriorly on the right side (Figure 2).
Surgical enucleation of the lesion under general anesthesia.
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The flap was repositioned in the same location and suturing was done with vicryl 3.0 suture material (Figures 3(a) and 3(b)).
Histopathological specimen (a) reveals the presence of the lesional tissue in toto along with the attached tooth specimen. (b) Histopathology shows odontogenic epithelium with peripheral palisading nuclei resembling ameloblast-like cells and loosely arranged central cells, identical to stellate reticulum, embedded in a myxoid cell-rich stroma resembling the dental papilla. Focal areas of enamel and dentin are also present.
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Dentin and enamel were also present (Figures 4(a) and 4(b)).