case_images: PMC8629659_01
case_images: A diffuse, fluctuant, and tender swelling in the right cheek.
case_images: CRID2021-8661995.001.jpg
case_images: PMC8629659_01_CRID2021-8661995.001.jpg
case_images: fig1
case_images: (a) Intraoral radiograph showed radiolucency in relation to the apex of the upper right second premolar. (b) CBCT radiograph showed a radiolucent image related to the apical part of #15 with bone resorption, discontinuity of the buccal and maxillary sinus cortical.
case_images: CRID2021-8661995.002.jpg
case_images: PMC8629659_01_CRID2021-8661995.002.jpg
case_images: fig2
case_images: Intraoral radiographs showed radiolucency in relation to the apex of the upper right second premolar (#15) treated endodontically (Figure 2(a)).
case_images: (a) MRI images revealed a subcutaneous high STIR signal fat stranding in both cheeks due to previous filler injection with adjacent mild oedema denoting a reactive inflammatory one. (b) Axial cuts displayed high signal intensity and an expansible lesion in the left cheek, with a buccal bone discontinuity.
case_images: CRID2021-8661995.003.jpg
case_images: PMC8629659_01_CRID2021-8661995.003.jpg
case_images: fig3
case_images: No signs of osteomyelitis were noticed (Figure 3(a)). The same high signal was observed in the right cheek (Figure 3(b)).
case_images: Surgical extraction of tooth 15 with closure of the site to avoid oro-antral communication.
case_images: CRID2021-8661995.004.jpg
case_images: PMC8629659_01_CRID2021-8661995.004.jpg
case_images: fig4
case_images: Treatment plan was proposed as surgical extraction of #15 with closure of the site to avoid an oro-antral communication, as well as a root canal treatment of #14 (Figure 4).
case_images: Healing after 15 days.
case_images: CRID2021-8661995.005.jpg
case_images: PMC8629659_01_CRID2021-8661995.005.jpg
case_images: fig5
case_images: Complete healing two months later.
case_images: CRID2021-8661995.006.jpg
case_images: PMC8629659_01_CRID2021-8661995.006.jpg
case_images: fig6