PMC3369421_01
Intraoral view shows slight expansion of the buccal cortex in the region of mandibular first molar on right side.
CRIM.DENTISTRY2012-482758.001.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.001.jpg
fig1
Intraorally, slight expansion of the buccal cortex was seen in mandibular first molar region on right side (Figure 1).
Orthopantomograph reveals a well-localized unilocular radiolucency in the mandibular first molar area on the right side involving the second premolar and second molar roots. Resorption of alveolar bone and loss of lamina dura around the first molar roots is also present.
CRIM.DENTISTRY2012-482758.002.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.002.jpg
fig2
The alveolar bone around the first molar roots was resorbed more than two-thirds of the root length, and there was loss of lamina dura around the associated vital teeth (Figure 2).
Intraoperative view shows expansion of the underlying buccal cortex with a bluish tinged surface is seen.
CRIM.DENTISTRY2012-482758.003.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.003.jpg
fig3
Upon raising the mucoperiosteal flap, the underlying buccal cortex showed expansion and a bluish tinge (Figure 3).
H&E stained section of the curetted tissue exhibits osseous cystic wall and overlying fibrovascular tissue with no epithelial lining. (10x).
CRIM.DENTISTRY2012-482758.004.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.004.jpg
fig4
Histopathological examination of the curetted tissue exhibited osseous cystic wall and overlying fibrovascular tissue with no epithelial lining (Figure 4).
Clinical photograph of postoperative healed lesion.
CRIM.DENTISTRY2012-482758.005.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.005.jpg
fig5
Postoperatively, the wound healed uneventfully (Figure 5).
Orthopantamograph taken after 1 year shows complete bony healing.
CRIM.DENTISTRY2012-482758.006.jpg
PMC3369421_01_CRIM.DENTISTRY2012-482758.006.jpg
fig6
A. After 1 year the radiographs showed complete bony healing (Figure 6).