case_images: PMC9085339_01
case_images: The image shows the size of the lesion in the CBCT scan approximately 10 years before its removal.
case_images: CRID2022-6210289.001.jpg
case_images: PMC9085339_01_CRID2022-6210289.001.jpg
case_images: fig1
case_images: The patient underwent an initial cone beam computed tomography (CBCT) scan in 2010 and two different orthopantomographs, in 2013 and 2019, respectively (Figures 1-3).
case_images: Orthopantomography performed in 2013.
case_images: CRID2022-6210289.002.jpg
case_images: PMC9085339_01_CRID2022-6210289.002.jpg
case_images: fig2
case_images: The patient underwent an initial cone beam computed tomography (CBCT) scan in 2010 and two different orthopantomographs, in 2013 and 2019, respectively (Figures 1-3).
case_images: Orthopantomography performed in 2019.
case_images: CRID2022-6210289.003.jpg
case_images: PMC9085339_01_CRID2022-6210289.003.jpg
case_images: fig3
case_images: The patient underwent an initial cone beam computed tomography (CBCT) scan in 2010 and two different orthopantomographs, in 2013 and 2019, respectively (Figures 1-3).
case_images: CBCT scan performed in 2020, showing the enlargement of the lesion compared to the first CBCT scan.
case_images: CRID2022-6210289.004.jpg
case_images: PMC9085339_01_CRID2022-6210289.004.jpg
case_images: fig4
case_images: By comparing the two orthopantomographs, it was possible to appreciate an expansive growth of the lesion; therefore, a new CBCT scan was prescribed in 2020 (Figure 4).
case_images: Vision of the vestibular bone hatch.
case_images: CRID2022-6210289.005.jpg
case_images: PMC9085339_01_CRID2022-6210289.005.jpg
case_images: fig5
case_images: The lesion measuring 15 x 10 x 7 mm was sent to the anatomical pathology department for histopathological examination (Figures 5-7).
case_images: Removal of the lesion through the bone hatch.
case_images: CRID2022-6210289.006.jpg
case_images: PMC9085339_01_CRID2022-6210289.006.jpg
case_images: fig6
case_images: The lesion measuring 15 x 10 x 7 mm was sent to the anatomical pathology department for histopathological examination (Figures 5-7).
case_images: Lesion with millimeter probe.
case_images: CRID2022-6210289.007.jpg
case_images: PMC9085339_01_CRID2022-6210289.007.jpg
case_images: fig7
case_images: The lesion measuring 15 x 10 x 7 mm was sent to the anatomical pathology department for histopathological examination (Figures 5-7).
case_images: Representative histological pictures of the lesion. (a) The odontoma has a well-organized tooth-like structure composed mainly of dentin (d) with a thin outer layer of cement (c) and little inner dental pulp-like tissue (p). (b) It is appreciable a thin fibrous wall (w) with brown hemosiderin deposits of a cystic lesion ((a) 50x magnification). At higher magnification, the cyst is covered by a hyperplastic nonkeratinizing squamous epithelium (s) with exocytosis of neutrophils (arrow, (b) 100x magnification) (haematoxylin-eosin staining).
case_images: CRID2022-6210289.008.jpg
case_images: PMC9085339_01_CRID2022-6210289.008.jpg
case_images: fig8
case_images: The tooth-like structure was mainly composed of dentin with a thin outer layer of cement and little inner dental pulp-like tissue, compatible with compound odontoma (Figure 8).
case_images: Orthopantomography performed in 2021.
case_images: CRID2022-6210289.009.jpg
case_images: PMC9085339_01_CRID2022-6210289.009.jpg
case_images: fig9
case_images: No recurrence was observed at the 12-month follow-up recall (Figure 9).