PMC3513817_01
Initial preoperative photograph with buccal swelling
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F1
On extra-oral examination, a slight buccal bulge was present in the mandibular left posterior region [Figure 1] which was felt hard on palpation.
Clinical view showing swelling in relation to 74 and 75
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F2
A buccal swelling was visible in the 74 region [Figure 2].
Preoperative CT scan showing a large well-defined radiolucent lesion
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F3
The CT scan showed a well-defined radiolucency involving 33, 34 and 35 with expansion of buccal and lingual cortical plates [Figures 3 and 4].
CT scan (occlusal view) showing expansion of buccal and lingual cortical plates
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F4
The CT scan showed a well-defined radiolucency involving 33, 34 and 35 with expansion of buccal and lingual cortical plates [Figures 3 and 4].
Microphotographs showing (a) wall of dentigerous cyst lined by stratified squamous epithelium (shown by arrow H and E, x100), (b) other area of cyst having features of inflammation including numerous proliferating blood vessels and mixed inflammatory cells (H and E, x100)
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F5
We also got the tissue from the cavity which was sent for histopathological examination showing wall of the dentigerous cyst lined by stratified squamous epithelium having features of inflammation including numerous proliferating blood vessels and mixed inflammatory cells [Figure 5].
Nine months' follow-up clinical view with erupted 34 and 35
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F6
Nine-month follow-up examination in October 2011 revealed the clinical presence of 34 and 35 in the oral cavity [Figure 6] and almost complete bone healing [Figure 7].
Nine months' follow-up CT scan showing almost complete bone healing
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F7
Nine-month follow-up examination in October 2011 revealed the clinical presence of 34 and 35 in the oral cavity [Figure 6] and almost complete bone healing [Figure 7].
Nine months' follow-up photograph with no buccal swelling
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F8
The extra-oral swelling caused by expansion of the buccal cortical plate also disappeared completely [Figure 8].