PMC6109540_01
Prominent hamular process with a knife-edge bony projection on the left side.
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On clinical examination, a sharp localized pain in the hamular region was evident on palpation due to the elongated hamular process that had a knife-edge bony projection (Figure 1).
Coronal view showing the presence of dentinal caries on the contralateral side.
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Her oral examination was nonremarkable on the affected left side with deep dentinal caries with respect to 18 (Figure 2) and pulp stones with respect to 16 on the right side (Figure 3).
Coronal view showing the presence of pulp stones on the contralateral side.
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fig3
Her oral examination was nonremarkable on the affected left side with deep dentinal caries with respect to 18 (Figure 2) and pulp stones with respect to 16 on the right side (Figure 3).
Cone beam computed tomography axial view showing an elongated pterygoid hamulus.
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3-D reconstructed skimmed view showing the elongated pterygoid hamulus.
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Surgical resection of the elongated and the prominent pterygoid hamulus from its base.
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Resected hamular process resembling an arrowhead.
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The gross specimen measured 13 mm in length and its shape resembled an arrowhead (Figure 7).