case_images: PMC6585205_01
case_images: Preoperative intraoral photograph showing swelling over the left molar region
case_images: AMS-9-201-g001.jpg
case_images: PMC6585205_01_AMS-9-201-g001.jpg
case_images: F1
case_images: An 11-year-old female reported to us with a chief complaint of hard swelling over the left mandibular molar region progressively growing for 4 months [Figure 1] and not associated with pain.
case_images: Preoperative radiograph (orthopantomogram) showing the multilocular lesion extending till the lower border and the subsigmoid region, with multiple impacted teeth
case_images: AMS-9-201-g002.jpg
case_images: PMC6585205_01_AMS-9-201-g002.jpg
case_images: F2
case_images: The impacted third molar was found near the sigmoid notch [Figure 2].
case_images: Exposure of the tumor from the buccal side
case_images: AMS-9-201-g003.jpg
case_images: PMC6585205_01_AMS-9-201-g003.jpg
case_images: F3
case_images: A mucoperiosteal flap was reflected from the buccal sulcus to expose the lesion [Figure 3].
case_images: Complete enucleation of the tumor
case_images: AMS-9-201-g004.jpg
case_images: PMC6585205_01_AMS-9-201-g004.jpg
case_images: F4
case_images: A thin layer of alveolar bone was removed, and the lesion was enucleated intact, along with the involved impacted teeth [Figure 4], followed by primary closure [Figure 5].
case_images: Primary closure with 3-0 vicryl sutures
case_images: AMS-9-201-g005.jpg
case_images: PMC6585205_01_AMS-9-201-g005.jpg
case_images: F5
case_images: A thin layer of alveolar bone was removed, and the lesion was enucleated intact, along with the involved impacted teeth [Figure 4], followed by primary closure [Figure 5].
case_images: Postoperative radiograph at 1-year follow-up showing good bone growth without recurrence
case_images: AMS-9-201-g006.jpg
case_images: PMC6585205_01_AMS-9-201-g006.jpg
case_images: F6
case_images: Prosthesis given to the patient posthealing as a space maintainer
case_images: AMS-9-201-g007.jpg
case_images: PMC6585205_01_AMS-9-201-g007.jpg
case_images: F7
case_images: Strands and cords of epithelium in ectomesenchymal tissue stroma
case_images: AMS-9-201-g008.jpg
case_images: PMC6585205_01_AMS-9-201-g008.jpg
case_images: F8
case_images: Histopathological examination revealed an epithelial component characterized by islands, cords, and strands of odontogenic epithelium in the ectomesenchymal tissue stroma mimicking dental papilla [Figure 8].