PMC4034629_01
Intraoral view of the patient showing unerupted left maxillary permanent central incisor with a slight bulge
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F1
On inspection a swelling was noticed on the labial side of the unerupted tooth (Fig. 1).
Intraoral periapical radiograph showing multilocular radiopacity enveloping the unerupted incisor with incomplete root formation
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F2
Intraoral periapical and panoramic radiographs revealed that radiopaque structures were present obstructing the eruption of left maxillary permanent central incisor (Figs 2 and Figs 3).
Preoperative panoramic radiograph showing multilocular radiopacity
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F3
Intraoral periapical and panoramic radiographs revealed that radiopaque structures were present obstructing the eruption of left maxillary permanent central incisor (Figs 2 and Figs 3).
Surgical exposure of the lesion showing numerou calcified masses
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F4
The layer of bone overlying the mass was removed and the calcified masses were exposed (Fig. 4).
Excised calcified masses
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F5
The four to five calcified irregular masses were removed without disturbing the underlying tooth and send for histopathological examination (Fig. 5).
Exposure of the unerupted central incisor after complete removal of calcified masses
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F6
Unerupted left maxillary permanent central incisor was located (Fig. 6) and after hemostasis, begg's bracket with a twisted ligature wire in a hook form tied to it was bonded on the labial surface of the impacted incisor.
Flap repositioned and sutured with ligature wire hook suspended in the oral cavity
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F7
The flap was repositioned and sutured, keeping the ligature wire hook suspended in the oral cavity making sure the occlusion was not disturbed (Fig. 7).
Microscopic section (H&E stained) exhibiting an irregular arrangement of dentin, mesenchymal tissue resembling pulp and a small area of cementum
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F8
Microscopically, hematoxylin and eosin-stained (H&E) section showed structures exhibiting an irregular arrangement of dentin, mesenchymal tissue resembling pulp and a small area of cementum-like material (Fig. 8).
One week postoperative panoramic radiograph revealing proper placement of bracket and absence of any radiopaque masses
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F9