PMC5346397_01
Orthopantomograph shows a well-circumscribed radiolucent mass attached to the lateral root surface of impacted permanent left mandibular first molar.
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fig1
The lesion was surrounded by a thin, uniform radiopaque line as can be seen in Figure 1.
Gross specimen shows multiple bits of hard and soft tissues.
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fig2
The gross specimen included multiple bits of hard tissues with permanent mandibular first molar and second premolar tooth and 2 bits of soft tissue as can be seen in Figure 2.
(a) H&E 10x view shows proliferation of cementocytes. (b) H&E 40x view shows basophilic reversal lines. (c) H&E 40x view shows multinucleated resorptive cells in connective tissue stroma.
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fig3
Hematoxylin and eosin stained sections showed prominent cementoblasts, irregular lacunae, increased active cementoblasts as can be seen in Figure 3(a). The numerous basophilic reversal lines are observed in Paget disease as can be seen in Figure 3(b). Areas of multinucleated giant cells were seen along with areas of loosely arranged vascular connective tissue stroma as can be seen in Figure 3(c).