PMC4093641_01
Preoperative panoramic radiograph showing well-defined periapical unilocular radiolucency
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F1
The cyst caused tipping of the developing root of 44 and pushed it mesially causing the crown to incline distally (Fig. 1).
Occlusal radiograph showing expansion of buccal and lingual cortical plate
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F2
Occlusal radiograph revealed a considerable expansion of buccal and lingual cortical plate of mandibular right side which was taken into account (Fig. 2).
Flap reflected from 44 to 46 region to expose the cystic site
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F3
The socket margins were widened to gain access to the cystic cavity and cavity was decompressed (Fig. 3).
Extracted 85
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F4
Eighty-five was extracted (Fig. 4).
Removed developing tooth bud of 45
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F5
Part of cystic lining was excised and developing tooth bud of 45 was removed based on operator's understanding and expert opinions (Fig. 5).
Obturator placed over surgical site
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F6
An obturator was prepared to promote bone healing, to prevent food accumulation and to maintain a patent surgical opening (Fig. 6).
Postoperative panoramic X-ray at 6 months
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F7
A substantial reduction in the size of the cystic cavity as well as uprighting and promotion of eruption of 43 was seen in a 6 months follow-up panoramic X-ray (Fig. 7).
Histopathological view showing nonkeratinized stratified squamous epithelium (1), arcading pattern of proliferation (2) and dense chronic inflammatory cell infiltrate (3)
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F8
Lingual arch space maintainer placed
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F9