PMC3703681_01
A 13-year-old boy complaints of space in the maxillary front tooth region
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F1
Intra oral examination showing an ill-defined swelling of the buccal gingiva
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F2
On palpation, the swelling was bony hard in consistency and non-tender [Figure 2].
Occlusal radiograph showed radiopaque mass with multiple teeth like structures present in relation to 11, 12, 13 with expansion and thinning of the labial cortical plate
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F3
Occlusal radiograph showed expansion and thinning of the labial cortical plate [Figure 3]. OPG Ortho Pan Tomography shows a tooth like radio opaque mass in relation to right central and lateral incisor surrounded by a well-defined radiolucent rim towards the inferio-left lateral aspect of the mass [Figure 4].
OPG Ortho Pan Tomograph showing a lesion in relation to the right central and lateral incisor
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F4
Occlusal radiograph showed expansion and thinning of the labial cortical plate [Figure 3]. OPG Ortho Pan Tomography shows a tooth like radio opaque mass in relation to right central and lateral incisor surrounded by a well-defined radiolucent rim towards the inferio-left lateral aspect of the mass [Figure 4].
Odontogenic epithelium lining the cystic cavity
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F5
Microscopically, the histopathological section of the specimen showed odontogenic lining epithelium which was single layered in one area and two to three layers in the remaining areas lyning the cystic cavity [Figure 5].
Stellate reticulum like cells arranged above the odontogenic epithelium, the eosinophilic masses suggestive of ghost cells
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F6
A fibrous connective tissue wall was also present [Figure 6].
Decalcified section showing hard tissue with enamel and dentin like material arranged in disorganized fashion
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F7
The decalcified section of the hard tissue showed enamel and dentin like material arranged in disorganized fashion [Figure 7].