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

Galih Rahmadini; Belly Sam; Suhardjo Sitam; Azhari Azhari; Seto Adiantoro Sadputranto

doi:10.32793/jrdi.v7i3.1073

Authors

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

DOI:

https://doi.org/10.32793/jrdi.v7i3.1073

Keywords:

Ameloblastoma, CBCT, dentigerous cyst, impacted teeth, large radiolucent

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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