PMC6585205_01
Preoperative intraoral photograph showing swelling over the left molar region
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F1
An 11-year-old female reported to us with a chief complaint of hard swelling over the left mandibular molar region progressively growing for 4 months [Figure 1] and not associated with pain.
Preoperative radiograph (orthopantomogram) showing the multilocular lesion extending till the lower border and the subsigmoid region, with multiple impacted teeth
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F2
The impacted third molar was found near the sigmoid notch [Figure 2].
Exposure of the tumor from the buccal side
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F3
A mucoperiosteal flap was reflected from the buccal sulcus to expose the lesion [Figure 3].
Complete enucleation of the tumor
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F4
A thin layer of alveolar bone was removed, and the lesion was enucleated intact, along with the involved impacted teeth [Figure 4], followed by primary closure [Figure 5].
Primary closure with 3-0 vicryl sutures
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F5
A thin layer of alveolar bone was removed, and the lesion was enucleated intact, along with the involved impacted teeth [Figure 4], followed by primary closure [Figure 5].
Postoperative radiograph at 1-year follow-up showing good bone growth without recurrence
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F6
Prosthesis given to the patient posthealing as a space maintainer
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F7
Strands and cords of epithelium in ectomesenchymal tissue stroma
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F8
Histopathological examination revealed an epithelial component characterized by islands, cords, and strands of odontogenic epithelium in the ectomesenchymal tissue stroma mimicking dental papilla [Figure 8].