case_images: PMC6563630_01
case_images: Clinical photograph showing swelling of the left paranasal area
case_images: NJMS-10-114-g001.jpg
case_images: PMC6563630_01_NJMS-10-114-g001.jpg
case_images: F1
case_images: On extraoral examination, there was a facial asymmetry with a solitary diffuse swelling on the left side near the nasolabial fold of size approximately 1 cm x 1 cm [Figure 1].
case_images: Intraoral photograph showing the swelling of the left maxillary vestibular area
case_images: NJMS-10-114-g002.jpg
case_images: PMC6563630_01_NJMS-10-114-g002.jpg
case_images: F2
case_images: Intraorally, there was a diffuse swelling of size approximately 3 cm x 2 cm present in the left side maxilla extending from the lateral incisors to the first premolar, obliterating the buccal vestibule [Figure 2].
case_images: Orthopantomogram showing the well-circumscribed radiolucent lesion with distinct, radiopaque margins, and the multiple impacted supernumerary teeth
case_images: NJMS-10-114-g003.jpg
case_images: PMC6563630_01_NJMS-10-114-g003.jpg
case_images: F3
case_images: The patient was advised to undergo orthopantomogram and cone-beam computed tomography (CBCT) imaging, which revealed a round unilocular radiolucent image of an intraosseous lesion with a well-defined border in the left maxilla extending from the periapical region of the lateral incisor to the mesial root of the first molar [Figure 3]. The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
case_images: Three-dimensional cone-beam computed tomography image showing the lesion and the associated impacted teeth
case_images: NJMS-10-114-g004.jpg
case_images: PMC6563630_01_NJMS-10-114-g004.jpg
case_images: F4
case_images: The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
case_images: Computed tomography scan showing circumscribed radiolucency with thin radiopaque margin encompassing a supernumerary tooth and the multiple impacted supernumerary teeth in both the jaws
case_images: NJMS-10-114-g005.jpg
case_images: PMC6563630_01_NJMS-10-114-g005.jpg
case_images: F5
case_images: The images also showed multiple impacted supernumerary teeth in the maxilla and mandible [Figures 3-5].
case_images: The whole of the excised lesion with the associated impacted teeth
case_images: NJMS-10-114-g006.jpg
case_images: PMC6563630_01_NJMS-10-114-g006.jpg
case_images: F6
case_images: The tumor was encapsulated and was attached with two impacted supernumerary teeth, which were fused and shaped as the maxillary premolars [Figure 6].
case_images: A connective tissue capsule lined by an odontogenic epithelial lining which is proliferating at one area
case_images: NJMS-10-114-g007.jpg
case_images: PMC6563630_01_NJMS-10-114-g007.jpg
case_images: F7
case_images: The inner wall of the cystic space was lined by an odontogenic epithelial lining [Figure 7].
case_images: The peripheral cells of the ductal pattern showing palisading arrangement
case_images: NJMS-10-114-g008.jpg
case_images: PMC6563630_01_NJMS-10-114-g008.jpg
case_images: F8
case_images: The peripheral cells of the ductal pattern showed a palisading structure and reversal of polarity [Figure 8].