case_images: PMC4555936_01
case_images: Preoperative intraoral picture
case_images: AMS-5-119-g001.jpg
case_images: PMC4555936_01_AMS-5-119-g001.jpg
case_images: F1
case_images: The growth had expanded the palatal, alveolar and buccal aspect to such an extent that the overlying mucosa had indentation marks from the lower teeth causing discomfort to the patient during speech and mastication [Figure 1].
case_images: Preoperative orthopantomograph
case_images: AMS-5-119-g002.jpg
case_images: PMC4555936_01_AMS-5-119-g002.jpg
case_images: F2
case_images: The orthopantomography (OPG) revealed [Figure 2] a radiolucent lesion with irregular borders located between the apices of the left maxillary lateral incisor and the left maxillary second premolar.
case_images: Preoperative computed tomography scans (axial view)
case_images: AMS-5-119-g003.jpg
case_images: PMC4555936_01_AMS-5-119-g003.jpg
case_images: F3
case_images: Maxillary left first premolar was present within the lesion [Figure 3].
case_images: Intra-operative picture
case_images: AMS-5-119-g004.jpg
case_images: PMC4555936_01_AMS-5-119-g004.jpg
case_images: F4
case_images: Under premedication (i.e. injection atropine, 0.6 mg IM, 60 min before surgery and injection diazepam 5-10 mg IM) and local anesthesia, an adequate window was created and the tumor mass was enucleated along with the enclosed 24 tooth [Figures 4 and 5].
case_images: Enucleated mass
case_images: AMS-5-119-g005.jpg
case_images: PMC4555936_01_AMS-5-119-g005.jpg
case_images: F5
case_images: Under premedication (i.e. injection atropine, 0.6 mg IM, 60 min before surgery and injection diazepam 5-10 mg IM) and local anesthesia, an adequate window was created and the tumor mass was enucleated along with the enclosed 24 tooth [Figures 4 and 5].
case_images: Pictomicrograph (H and E, x10)
case_images: AMS-5-119-g006.jpg
case_images: PMC4555936_01_AMS-5-119-g006.jpg
case_images: F6
case_images: The histopathological picture [Figure 6] of the biopsy sample revealed epithelium and underlying connective tissue stoma.
case_images: Pictomicrograph (H and E, x 45)
case_images: AMS-5-119-g007.jpg
case_images: PMC4555936_01_AMS-5-119-g007.jpg
case_images: F7
case_images: Secondly, rosettes like structures lined by tall columnar cells with hyperchromatic polarized nuclei were seen [Figure 7].
case_images: Follow-up orthopantomography showing corrected eruption axis of canine
case_images: AMS-5-119-g008.jpg
case_images: PMC4555936_01_AMS-5-119-g008.jpg
case_images: F8
case_images: The displaced maxillary left canine also moved on the eruption path and axis [Figure 8].