PMC5824526_01
Clinical appearance of lesion
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F1
Following it, he observed a pebbly white material in and around the extracted socket [Figure 1].
Periapical radiograph of the right maxillary canine region
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F2
Investigations included intraoral periapical radiograph (IOPA) in relation to the right maxillary canine and first premolar region [Figure 2], orthopantomogram (OPG) [Figure 3] and histopathological examination (HPE).
Panoramic radiograph exhibiting radiolucent lesion
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F3
Investigations included intraoral periapical radiograph (IOPA) in relation to the right maxillary canine and first premolar region [Figure 2], orthopantomogram (OPG) [Figure 3] and histopathological examination (HPE).
Cone-beam computed tomography image demonstrating osteolytic lesion
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F4
The cone-beam computed tomography (CBCT) [Figure 4] of the maxillary arch and 3D image of the skull showed an osteolytic lesion that appeared to be extending from the right anterior segment of maxilla up to the last molar; the severe bone loss was seen in relation to teeth right maxillary lateral incisor and canine.
Clinical appearance of lesion after 4 months of initial visit
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F5
However, the patient came back after 4 months with a recurrence [Figure 5].
A flow diagram summarizing the patient's visits and outcome
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F6
A flow diagram depicting the patient's visit is shown in Figure 6.
Hyperkeratotic and hyperplastic epithelium showing both endophytic and exophytic growth patterns. Rete ridges are narrow whereas superficial epithelial surface is broad. On the other side, normal gingival epithelium is appreciated
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F7
The extensive osteolysis resembled a rabbit burrow involving the entire maxilla from the right to the left, confirming the diagnosis of CC was made [Figure 7].