PMC6008780_01
(a) Picture of soft tissue exophytic lesion in buccal vestibule. (b) Picture of soft tissue lesion showing purulent exudate.
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On exam, there was a large, painless, fibrous, exophytic mass in the anterior maxillary labial vestibule (Figures 1(a) and 1(b)). A yellow purulent material was observed draining from the parulis (Figure 1(b)).
Periapical radiograph of large radiolucency associated with necrotic tooth #8.
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A periapical radiograph revealed a large unilocular radiolucency associated with the apex of tooth #8 (Figure 2).
CBCT image showing large cystic-appearing defect in the anterior maxilla with perforation of the buccal and palatal cortices.
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Cone-beam computed tomography again demonstrated a large cystic-appearing defect in the anterior maxilla with perforation of the buccal and palatal cortices Figure 3.
Picture at one-week follow-up.
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At the patient's one-week follow-up (Figure 4), he was doing very well.