ODONTOMA-ASSOCIATED CALCIFYING ODONTOGENIC CYST MIMETIZING DENTAL GERM

An 11-year-old patient, male, was submitted to orthodontic traction of enclosed lower molar. Tomographic examination showed a radiolucent image measuring approximately 1 cm between 46 and suggestive dental germ of the 47. Intraoral examination confirmed absence of the 46. The orthodontic traction wa...

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Published in:Oral surgery, oral medicine, oral pathology and oral radiology oral medicine, oral pathology and oral radiology, 2020-09, Vol.130 (3), p.e226-e226
Main Authors: SANTANA, LUCAS ALVES DA MOTA, AGUIAR, MARIA CáSSIA FERREIRA DE, SOUSA, SíLVIA FERREIRA DE, CALDEIRA, PATRíCIA CARLOS, OLIVEIRA, EDUARDO MORATO DE
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Language:English
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Summary:An 11-year-old patient, male, was submitted to orthodontic traction of enclosed lower molar. Tomographic examination showed a radiolucent image measuring approximately 1 cm between 46 and suggestive dental germ of the 47. Intraoral examination confirmed absence of the 46. The orthodontic traction was performed and a routine panoramic radiography revealed formation of a delineated radiolucent image with radiopaque foci at the periphery. Thereby, hypothesis of odontogenic lesions with a mixed radiographic appearance was made. A positive aspiration puncture for citrus yellow liquid was performed, followed by excisional biopsy. Microscopic findings revealed a cystic capsule lined by with odontogenic epithelium and numerous phantom cells permeated by areas of calcification. Moreover, the presence of dental tissues pointed to the diagnosis of calcifying odontogenic cyst associated with odontoma. Currently, the patient is in follow-up and radiographic images reveal new bone formation in the region. Financial support: CAPES.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2020.04.549