PMC4086549_01
Extraoral view of the patient
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F1
Intraoral view showing bony swelling
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F2
Clinical examination revealed a firm swelling fixed to the alveolar process of the maxilla (Fig. 2).
Orthopantomograph showing location of the cyst
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F3
Diagnostic maxillary occlusal radiograph (Fig. 3) and an orthopantomograph (Fig. 4) showed a radiolucent lesion in the alveolar process of the anterior maxilla.
Flap raised with cyst lining ruptured
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F5
Surgical enucleation of the cyst was chosen as the treatment of choice (Figs 5 to 7).
Enucleated cyst with associated tooth
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F6
Surgical enucleation of the cyst was chosen as the treatment of choice (Figs 5 to 7).
Flap sutured back in position
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F7
Surgical enucleation of the cyst was chosen as the treatment of choice (Figs 5 to 7).
Histological examination of the cyst lining
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F8
The histological examination showed a thin fibrous cystic wall lined by a 2 to 3 layer thick nonkeratinized stratified squamous epithelium with islands of odontogenic epithelium (Fig. 8).
Semi rigid composite wire splint given to immobilize
central incisor
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F9
As the lesion was big involving considerable amount of bone, left central incisor became mobile after the surgery, henceforth a composite wire splint was placed (Fig. 9).
Removable partial denture given to restore
aesthetics and occlusion
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F10
After 1 month, a removable partial denture was delivered, which served functional space maintainer, improved esthetics and phonetics (Fig. 10).