case_images: PMC5242084_01
case_images: Preoperative photograph showing diffuse swelling over the left side of the lower face
case_images: NJMS-7-92-g001.jpg
case_images: PMC5242084_01_NJMS-7-92-g001.jpg
case_images: F1
case_images: On examination, a firm, diffuse, nontender swelling of size 9 x 5 cm involving the left body of the mandible was observed [Figure 1].
case_images: Intraoral photograph showing missing permanent left mandibular molars and a calcified, toothlike structure protruding from the alveolar mucosa over the retromolar region
case_images: NJMS-7-92-g002.jpg
case_images: PMC5242084_01_NJMS-7-92-g002.jpg
case_images: F2
case_images: To our surprise, the left mandibular molars were missing [Figure 2].
case_images: Orthopantomogram revealsa large, well-defined radiopaque lesion with focal radiolucent areas occupying the whole left body of the mandible. An impacted tooth is also visible. This appearance suggests that the lesion is a complex odontoma
case_images: NJMS-7-92-g003.jpg
case_images: PMC5242084_01_NJMS-7-92-g003.jpg
case_images: F3
case_images: An impacted third molar was present below the mass just above the inferior border [Figure 3].
case_images: Intraoperative photograph after complete removal of the tumor
case_images: NJMS-7-92-g004.jpg
case_images: PMC5242084_01_NJMS-7-92-g004.jpg
case_images: F4
case_images: The lingual cortical bone was found to be intact [Figures 4 and 5].
case_images: The tumor specimen showing the presence of both calcified and epithelial components
case_images: NJMS-7-92-g005.jpg
case_images: PMC5242084_01_NJMS-7-92-g005.jpg
case_images: F5
case_images: The lingual cortical bone was found to be intact [Figures 4 and 5].
case_images: Reconstruction of the mandibular defect was done with iliac crest graft
case_images: NJMS-7-92-g006.jpg
case_images: PMC5242084_01_NJMS-7-92-g006.jpg
case_images: F6
case_images: The reconstruction of the defect was done with nonvascularized corticocancellous iliac crest bone, which was taken from the contralateral side [Figure 6].
case_images: Photomicrograph stained with H and E reveals the presence of dense fibrous tissue and a few odontogenic epithelial cell islands. Fibrous tissue is of a primitive type containing spindle-shaped fibroblasts, some areas of hyalinization signifying dentin formation, and some clear spaces of enamel formation. In addition, odontogenic epithelial cells follicles are visualized with a few stellate cells suggestive of AFO
case_images: NJMS-7-92-g007.jpg
case_images: PMC5242084_01_NJMS-7-92-g007.jpg
case_images: F7
case_images: To our surprise, histopathological examination revealed the tumoras an AFO [Figure 7].