PMC10207194_01
Extraoral clinical picture showing diffuse swelling in mandibular symphysis and left parasymphysis region
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F1
Overlying skin appeared normal in colour but stretched [Figure 1].
Intraoral clinical picture showing evident swelling in a) lower labial vestibule extending laterally towards buccal vestibule region; and b) lingual sulcus region on left side of mandible
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F2
Also, the swelling was present on lingual aspect extending medio-laterally from the mandibular left permanent central incisor to the left second premolar teeth (31 to 35) region, and supero-inferiorly from the free gingival margin to the floor of the mouth [Figure 2].
Orthopantomogram showing a well-defined, multilocular radiolucency extending from 43 to 35 region along with horizontally impacted 33
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F3
Also, root resorption was seen with 35 [Figure 3].
Histopathologic picture showing cystic lining composed of thin stratified squamous epithelium depicting characteristic odontogenic features and the basal layer showing budding of strands and follicles of ameloblastomatous epithelium under 10x (a). Thicker area of epithelium showing groups of ghost cells under 40x (b) and 100x (c) magnifications
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F4
The basal layer showed budding of strands and follicles of ameloblastomatous epithelium [Figure 4a]. Also, a thicker area of epithelium showing groups of ghost cells were seen [Figure 4b and c].