PMC4555937_01
Panoramic radiography with a solid radiopaque mass involving left alveolar ridge, maxillary sinus, and orbit
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F1
Panoramic radiographs revealed a solid radiopaque mass involving the left alveolar ridge, maxillary sinus, and orbit [Figure 1].
Coronal computed tomography of the lesion
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F2
Axial computed tomography of the lesion
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F3
Axial computed tomography of the lesion in the maxillary sinus
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F4
A conservative exeresis of the lesion was made with an intraoral access. (a) Clinical appearance before surgery. (b) Mucoperiosteal flap raised. (c) Appearance after surgical removal of the lesion
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F5
A relaxing incision was performed on the mesial of the premolar to allow a mucoperiosteal flap raise to expose the very superficially located mass [Figure 5].
Several blocks of the lesion were removed
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F6
Surgical approach was performed using a spherical drill and a #702 tapered stem, and several blocks of the lesion were removed [Figure 6] and submitted for histopathological examination.
Histopathological examination of the excised mass (H and E, original magnification x40)
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F7
Clear spaces and clefts representing the mature enamel that is lost in the process of decalcification are often seen confirming the diagnosis of a complex odontoma [Figure 7].
Panoramic radiography of 2 years follow-up with the occurrence of bone repair
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F8