A large radiolucent lesion with impacted teeth: was it an ameloblastoma or a dentigerous cyst? a case report

  • Galih Rahmadini Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Belly Sam Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Suhardjo Sitam Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Azhari Azhari Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Seto Adiantoro Sadputranto Department of Oral and Maxillofacial Surgery, Hasan Sadikin Central General Hospital, Bandung, Indonesia, 40161

Abstract

Objectives: This case report aims to describe a large radiolucent lesion associated with an impacted tooth from CBCT radiographs.
Case Report: A 19-year-old woman was referred to have a CBCT examination in the dentomaxillofacial radiology unit in Dental Hospital Universitas Padjadjaran with swelling on the palatal side of the face and a lump on the gum at the upper right unerupted canine and premolar. The CBCT examination results showed impacted teeth 13 and 14 with a large radiolucent lesion with a well-defined and corticated border surrounding teeth 13 and 14, expanding into the maxillary sinus and nasal cavity.  Oral hygiene was in good condition. The facial profile looked asymmetrical.
Conclusion: Based on the CBCT result in terms of location and radiographic feature, this extensive radiolucent lesion led to a suspect radiodiagnosis of the ameloblastoma. Histology examinations are required to establish a definitive diagnosis. A cyst wall lined with odontogenic squamous epithelium was confirmed in the histology result examination.

Author Biographies

Galih Rahmadini, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Dentomaxillofacial Radiology Residency Program
Belly Sam, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff
Suhardjo Sitam, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff
Azhari Azhari, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff
Seto Adiantoro Sadputranto, Department of Oral and Maxillofacial Surgery, Hasan Sadikin Central General Hospital, Bandung, Indonesia, 40161
Staff

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Published
2023-12-31
How to Cite
RAHMADINI, Galih et al. A large radiolucent lesion with impacted teeth: was it an ameloblastoma or a dentigerous cyst? a case report. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 3, p. 121-126, dec. 2023. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1073>. Date accessed: 24 apr. 2024. doi: https://doi.org/10.32793/jrdi.v7i3.1073.

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