case_images: PMC5824526_01
case_images: Clinical appearance of lesion
case_images: JOMFP-22-82-g001.jpg
case_images: PMC5824526_01_JOMFP-22-82-g001.jpg
case_images: F1
case_images: Following it, he observed a pebbly white material in and around the extracted socket [Figure 1].
case_images: Periapical radiograph of the right maxillary canine region
case_images: JOMFP-22-82-g002.jpg
case_images: PMC5824526_01_JOMFP-22-82-g002.jpg
case_images: F2
case_images: Investigations included intraoral periapical radiograph (IOPA) in relation to the right maxillary canine and first premolar region [Figure 2], orthopantomogram (OPG) [Figure 3] and histopathological examination (HPE).
case_images: Panoramic radiograph exhibiting radiolucent lesion
case_images: JOMFP-22-82-g003.jpg
case_images: PMC5824526_01_JOMFP-22-82-g003.jpg
case_images: F3
case_images: Investigations included intraoral periapical radiograph (IOPA) in relation to the right maxillary canine and first premolar region [Figure 2], orthopantomogram (OPG) [Figure 3] and histopathological examination (HPE).
case_images: Cone-beam computed tomography image demonstrating osteolytic lesion
case_images: JOMFP-22-82-g004.jpg
case_images: PMC5824526_01_JOMFP-22-82-g004.jpg
case_images: F4
case_images: The cone-beam computed tomography (CBCT) [Figure 4] of the maxillary arch and 3D image of the skull showed an osteolytic lesion that appeared to be extending from the right anterior segment of maxilla up to the last molar; the severe bone loss was seen in relation to teeth right maxillary lateral incisor and canine.
case_images: Clinical appearance of lesion after 4 months of initial visit
case_images: JOMFP-22-82-g005.jpg
case_images: PMC5824526_01_JOMFP-22-82-g005.jpg
case_images: F5
case_images: However, the patient came back after 4 months with a recurrence [Figure 5].
case_images: A flow diagram summarizing the patient's visits and outcome
case_images: JOMFP-22-82-g006.jpg
case_images: PMC5824526_01_JOMFP-22-82-g006.jpg
case_images: F6
case_images: A flow diagram depicting the patient's visit is shown in Figure 6.
case_images: Hyperkeratotic and hyperplastic epithelium showing both endophytic and exophytic growth patterns. Rete ridges are narrow whereas superficial epithelial surface is broad. On the other side, normal gingival epithelium is appreciated
case_images: JOMFP-22-82-g007.jpg
case_images: PMC5824526_01_JOMFP-22-82-g007.jpg
case_images: F7
case_images: The extensive osteolysis resembled a rabbit burrow involving the entire maxilla from the right to the left, confirming the diagnosis of CC was made [Figure 7].