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Pre-surgical panoramic radiographic image (2009).
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Subsequent PR imaging revealed a large, radiolucent, expanding lesion involving the majority of the mandibular bone from the distal side of tooth 35 to the distal side of tooth 45 with no evidence of root resorption (Fig. 1).
Intra-oral view of the cystic lesion during surgery with perforation of the cortical bone (2009).
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Exceedingly thin layers of compact bone covering the cystic lumen were removed (Fig. 2).
Intra-operative placement of the 2.0 mm 16-hole titanium plate (MatrixMANDIBLE Plating System ; Synthes CMF, West Chester, PA, USA) (2009).
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Owing to the large size of the KCOT, and to reduce the risk of a mandibular fracture, a 2.0-mm 16-hole titanium plate (MatrixMANDIBLE Plating System ; Synthes CMF, West Chester, PA, USA), fixed with 3- x 10-mm screws on each side, was installed (Fig. 3).
Pre-surgical computed tomography image showing three recurrent cystic lesions (2010).
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A CT scan revealed three radiolucent regions in the mandibular bone extending from the mesial side of tooth 43 to the distal side of tooth 45 (Fig. 4). A second operation was performed under nasotracheal intubation.
Panoramic radiographic image demonstrating bone formation after a 7-year observation period (2016).
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