Posted in Case Of The Week on December 10, 2013 by m.khodeer
Dolphine Oda, BDS, MSc (Pathology)
Dr. Tracy Johnson (Oral & Maxillofacial Surgery)
This 30-year-old female presented for wisdom tooth removal. At examination of the patient it was noted that there was swelling in the region of the right posterior maxilla. How long the lesion had been present was unknown.
Clinical and Radiographic Findings
A large asymptomatic swelling was identified by the oral surgeon in the right posterior maxilla.
It was confirmed by a panoramic radiograph which showed a well-demarcated mixed radiolucent/radiopaque lesion between teeth #s 3 and 4 (Figure 1). It had expanded buccally and palatally and had extended superiorly into the right maxillary sinus. It was displacing teeth #s 3 and 4. The lesion was measured as 2 x 2 x 1.7 cm in size. The involved teeth were vital.