case_images: PMC3303501_01
case_images: Extra oral view shows large mandible
case_images: JOMFP-16-107-g001.jpg
case_images: PMC3303501_01_JOMFP-16-107-g001.jpg
case_images: F1
case_images: Intra oral examination showed increased size and altered shape of the mandibular alveolar ridge, pseudo micrognathia of the maxillary arch [Figures 1 and 2], and partially edentulous, thickened cortical plate.
case_images: Large size partially edentulous mandible
case_images: JOMFP-16-107-g002.jpg
case_images: PMC3303501_01_JOMFP-16-107-g002.jpg
case_images: F2
case_images: Intra oral examination showed increased size and altered shape of the mandibular alveolar ridge, pseudo micrognathia of the maxillary arch [Figures 1 and 2], and partially edentulous, thickened cortical plate.
case_images: OPG shows hypercementosis of the teeth roots.
case_images: JOMFP-16-107-g003.jpg
case_images: PMC3303501_01_JOMFP-16-107-g003.jpg
case_images: F3
case_images: Orthopantomograph shows hypercementosis with displacement of involved teeth, cortical thickening of the body of the mandible, and mixed radiolucent and radio opaque areas [Figure 3] on both sides of the mandible.
case_images: 3D scan shows thickened mandibular cortical plate
case_images: JOMFP-16-107-g004.jpg
case_images: PMC3303501_01_JOMFP-16-107-g004.jpg
case_images: F4
case_images: Whole-body X-rays and scans were taken to ascertain the involvement of other bones [Figure 4], confirming that the lesion was restricted to mandible only.
case_images: (a) Irregular reversal line, (b) mosaic bone pattern histologically
case_images: JOMFP-16-107-g005.jpg
case_images: PMC3303501_01_JOMFP-16-107-g005.jpg
case_images: F5
case_images: Marrow spaces were filled with fibro vascular connective tissue, confirming osteitis deformans [Figure 5].
case_images: Biochemical report
case_images: JOMFP-16-107-g006.jpg
case_images: PMC3303501_01_JOMFP-16-107-g006.jpg
case_images: F6
case_images: Biochemical analysis showed abnormal increase of alkaline phosphatase (ALP) enzyme level (1368.1 U/l) [Figure 6] while comparing with the normal values of 30-120 U/l (above 17 years) and 74-390 U/l (below 17 years).