PMC3888999_01
Preoperative clinical photographs showing intraoral swellings in the retromolar area on right side
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F1
The swelling extended from the first premolar to third molar region on the right, and from the first premolar region to the retromolar trigone on the left [Figures 1 and 2].
Preoperative clinical photographs showing intraoral swellings in the retromolar area on left side
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F2
The swelling extended from the first premolar to third molar region on the right, and from the first premolar region to the retromolar trigone on the left [Figures 1 and 2].
CT image showing bilateral expansile radiolucent lesion surrounding both the mandibular and maxillary third molar regions along with supernumerary teeth
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F3
A radiographic investigation by CT scan revealed a unilocular well-defined corticated hypodense lesion involving impacted mandibular third molars bilaterally [Figure 3].
CT image shows maxillary radiolucent lesion surrounding the right impacted third molar
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F4
In maxilla, CT-scan revealed the dimensions of hypodensities around the crowns of third molars to be 15 and 18 mm in diameter on the right and left side, respectively [Figures 4 and 5].
CT image shows maxillary radiolucent lesion surrounding the left impacted third molar
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F5
In maxilla, CT-scan revealed the dimensions of hypodensities around the crowns of third molars to be 15 and 18 mm in diameter on the right and left side, respectively [Figures 4 and 5].
The coronal view of mandible in CT image shows bilateral lingual bone perforation
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F6
Coronal sections and three-dimensional CT revealed bilateral lingual and buccal cortical perforations in mandible [Figure 6].
Cystic fluid aspirate shows straw-colored fluid
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F7
On aspiration a straw-colored fluid was obtained from each of these cystic lesions which is diagnostic of a dentigerous cyst [Figure 7].
Histopathological section showing the cystic epithelial lining typically of dentigerous cyst
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F8
The connective tissue wall was composed of a fibrous capsule which confirmed the diagnosis of dentigerous cyst [Figures 8 and 9].
Another histopathological section showing the cystic epithelial lining typically of dentigerous cyst
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F9
The connective tissue wall was composed of a fibrous capsule which confirmed the diagnosis of dentigerous cyst [Figures 8 and 9].
Intraoperative clinical photograph showing resultant bony cavities after enucleation of dentigerous cysts in mandible
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F10
The resultant cavities [Figure 10] in the mandible after enucleation were packed with bismuth, iodoform, paraffin paste, and healing was by secondary intention [Figure 11].
Postoperative clinical photograph showing the gauze packed in to the bony cavities after cyst enucleation
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F11
The resultant cavities [Figure 10] in the mandible after enucleation were packed with bismuth, iodoform, paraffin paste, and healing was by secondary intention [Figure 11].
Intraoral clinical view after 6 months showing the healing of bony cavities
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F12
Six months postoperatively the dimensions of the cystic cavity were reduced both clinically and radiographically [Figures 12 and 13].
Postoperative panoramic view after 5 months of enucleation showing significant amount of bone formation
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F13
Six months postoperatively the dimensions of the cystic cavity were reduced both clinically and radiographically [Figures 12 and 13].