PMC8313313_01
Pre-Op Orthopantomograph showing a well-defined radiolucent lesion in the left posterior mandible.
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The lesion was identified during routine workups for orthodontic treatment to address anterior teeth' crowding (Figure 1). Panoramic imaging showed a well-defined unilocular ovoid radiolucent lesion with a sclerotic rim extending from the distal aspect of the mandibular second premolar to the distal surface of the distal root of the mandibular first molar (Figure 1 and 2(a)).
shows panoramic radiographs taken at initial and subsequent follow-up visits (a). The preoperative imaging referred by the orthodontist. (b) The lesion one-month post-intervention (c) At 3-month follow-up post-intervention. (d) At nine-month follow-up. (e) At 18 months of follow-up post-intervention showing complete resolution.
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fig2
Panoramic imaging showed a well-defined unilocular ovoid radiolucent lesion with a sclerotic rim extending from the distal aspect of the mandibular second premolar to the distal surface of the distal root of the mandibular first molar (Figure 1 and 2(a)). The same visit's panoramic follow-up showed some signs of bone formation in the affected region (Figure 2(b)). Based on progress in clinical, laboratory testing, and imaging of the jaw lesions (Figure 2(c)), the parents declined any surgical intervention, including biopsy, and agreed to pursue periodic follow-up. A Radiograph was taken at nine months, followed by further progress with new bone formation (Figure 2(d)). 4Repeat laboratory analysis also showed regular intact PTH 49.3 (15-68) pg./ml, vitamin D (25(OH)D) 73.3 (30-100) ng/ml and calcium 2.5 (2.15-2.60) mmol/L. The last Panoramic picture showed a full resolution of the lesion (Figure 2(e)), and the laboratory tests confirmed stable values of PTH (31.5 pg/ml), vitamin D (53.53 ng/ml), calcium 2.5 (2.15-2.60) mmol/L.