case_images: PMC10499287_01
case_images: Intraoral examination revealing a 3 cm x 4 cm soft tissue growth over the alveolar ridge anteroposteriorly extending from the right mandibular first molar till the right pterygomandibular region
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case_images: Intraoral examination revealed a 3 cm x 4 cm soft tissue growth over the alveolar ridge anteroposteriorly extending from right first molar till the right pterygomandibular raphae region [Figure 1].
case_images: Right side maxillary molars impinging over the soft tissue overgrowth
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case_images: Mediolaterally, it was covering the right buccal vestibule with extension towards the lingual sulcus [Figure 2].
case_images: MRI neck showing a heterogeneous, predominantly fluid intensity oral cavity lesion, involving the right mandibular alveolus. MRI: Magnetic resonance imaging
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case_images: The patient had reported with magnetic resonance imaging of the head and neck region that showed a lesion of 43 mm x 33 mm x 33 mm, heterogeneous, predominantly fluid intensity involving the right mandibular alveolus [Figure 3].
case_images: Orthopantomogram showing horizontally placed right side mandibular third molar, missing bilateral mandibular molars and periodontally compromised remaining dentition
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case_images: Panoramic radiograph showed horizontally placed right mandibular third molar [Figure 4].
case_images: Excised specimen
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case_images: Excision under local anaesthesia was carried out and the specimen was sent for histopathological examination [Figure 5].
case_images: On the seventh day follow-up, the surgical site had healed well
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case_images: The patient was reviewed on the seventh day postoperatively where on examination, the surgical site had healed well [Figure 6].
case_images: x40 objective showing suppurative granulomas surrounding characteristic brown-coloured amorphous grains with multinucleated giant cells engulfing the grains
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case_images: Multinucleated giant cells were seen with few of them engulfing the grains [Figure 7].