PMC4003779_01
Preoperative frontal view showing swelling over right lower jaw.
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Extraoral examination revealed a solitary swelling measuring 4 x 3 cm, present on the right lateral aspect of mandible extending from midway of the body to the ramus (Figure 1).
Intraoral photograph of lesion on right side of mandible.
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There was slight discontinuity in mucosa distal to the right first molar (Figure 2).
Orthopantomograph revealing radioopaque lesion in the right mandibular angle region involving the impacted second molar.
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An impacted second molar with 1/4th root development was also seen (Figure 3).
Coronal CT scan section showing the lesion.
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CT scan revealed both lingual and buccal cortical plate perforations and the extent of the lesion in anteroposterior direction (Figures 4 and 5).
Axial CT scan section showing the extent of the lesion anteroposteriorly.
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CT scan revealed both lingual and buccal cortical plate perforations and the extent of the lesion in anteroposterior direction (Figures 4 and 5).
Intraoperative photograph showing the exposed lesion.
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Under general anesthesia, the lesion was approached intraorally (Figure 6), and it was completely enucleated along with extraction of impacted second molar.
Excised specimen.
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After thorough curettage, the wound was closed using 3-0 vicryl and the specimen was sent for histopathological examination (Figure 7).
Six-month postoperative orthopantomograph revealed complete bony healing without any recurrence.
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Postoperative OPG revealed good bony healing without any recurrence (Figure 9).
Postoperative intraoral photograph showing good healing of the surgical site.
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Intraoral healing was good without any defects (Figure 10).