Medical / Dental HistoryUnremarkable. Radiographic FindingsUsing the LESION acroynm created by owner/oral and maxillofacial radiologist Dr. Shawneen M. Gonzalez. (L)ocation = Posterior right mandible distal to the second molar (31). (E)dge = Well-defined. (S)hape = Round. (I)nternal = Mixed radiopaque/radiolucent. (O)ther = None. (N)umber = Single. OtherA benign fibro-osseous lesion is a lesion comprised of fibrous tissue and osseous tissues. They can be found anywhere in the maxilla or mandible but are more common in the posterior mandible. These typically do not require treatment and monitoring is recommended.
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Medical / Dental HistoryNone given. Radiographic FindingsUsing the LESION acronym created by owner/oral and maxillofacial radiologist Dr. Shawneen M. Gonzalez. (L)ocation = Around the impacted mandibular right third molar (32). (E)dge = Well-defined, corticated, continuous at the cemento-enamel junction (CEJ) of the impacted third molar. (S)hape = Ovoid. (I)nternal = Radiolucent. (O)ther = Apical displacement of the third molar (32). Discontinuities of the lingual cortical plate and crest of the alveolar ridge. Right inferior alveolar nerve canal displaced inferiorly and to the facial cortical plate. (N)umber = Single. Radiographic Diagnostic TipsJust a short summary of some tips when determining if a dentigerous cyst should be considered in a differential. - Impacted tooth - Well-defined, edges will be continuous at the cemento-enamel junction (CEJ) of the impacted tooth, typically corticated. - Pushes associated tooth apically - Radiolucent We hope you enjoy this case!
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