PMC3357024_01
Bony lesion on palate
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F1
Hospital, Bangalore, for the evaluation and treatment of a palatal bony swelling [Figures 1 and 2]. Patient complained of a slow growing, painless mass in the left palatal maxillary area, which was present since six months.
Measured at 15x10 mm
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F2
Hospital, Bangalore, for the evaluation and treatment of a palatal bony swelling [Figures 1 and 2]. Patient complained of a slow growing, painless mass in the left palatal maxillary area, which was present since six months.
Nine millimeter pocket depth
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F3
Clinically, the tooth was firm and not associated with any mobility [Figure 3].
Region of well defined radio-opacity in the region of 25 and 26
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F4
A region of well defined opacity was seen in the palatal regions of 25 and 26 [Figure 4], when seen on a maxillary occlusal radiograph.
Sulcular incision given
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F5
Under local anesthesia, buccal and palatal flaps were raised, giving crevicular incisions in 24, 25, and 26 regions [Figures 5 and 6].
Flap raised using vertical incision
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F6
Under local anesthesia, buccal and palatal flaps were raised, giving crevicular incisions in 24, 25, and 26 regions [Figures 5 and 6].
Excision of bony lesion with Kirkland chisel
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F7
The bony mass was excised with the help of a Kirkland chisel which has one end that is a back-action chisel and the other end is a straight chisel [Figures 7 and 8].
Excised bony lesion
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F8
The bony mass was excised with the help of a Kirkland chisel which has one end that is a back-action chisel and the other end is a straight chisel [Figures 7 and 8].
Sutures placed
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F9
Margins of the flap were trimmed to achieve good approximation and the flap was sutured with black silk sutures [Figure 9].
Post-op ten days
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F10
The healing was uneventful, and the sutures were removed after 10 days [Figure 10].
Post-op one month
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F11
The case was followed-up for a period of one year, and there was no sign of recurrence [Figures 11 and 12].
Post-op one year
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F12
The case was followed-up for a period of one year, and there was no sign of recurrence [Figures 11 and 12].
(a) Trabeculae with osteocytes (b) Adipose cells
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F13
The inter-trabecular tissue showed marrow spaces pre-dominantly made up of adipose tissue, presence of few arterioles and capillaries [Figures 13 and 14].
(a) Parakeratinized stratified squamous epithelium (b) Connective tissue
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F14
The inter-trabecular tissue showed marrow spaces pre-dominantly made up of adipose tissue, presence of few arterioles and capillaries [Figures 13 and 14].