Dentigerous cyst arising from a complex odontoma: an unusual presentation

Description

A 21-year-old man presented with pain in the right posterior region of the jaw for 10–15 days. The pain was mild, dull and non-radiating in nature, beginning with slight pressure and relieved within seconds. Clinically, the patient was healthy with an unremarkable medical history. On inspection, the patient had congenitally missing mandibular molar teeth along with absence of clinical swelling intraorally. Panoramic radiograph showed an amorphous, dense, irregularly shaped radio-opacity surrounded by a well-defined radiolucency in the apical region of 46, 47 and 48, which extended anteriorly to involve an impacted mandibular first molar tooth (figure 1). Complete surgical excision was performed and tissue sent for histopathological examination. The soft tissue was separated from the calcified mass during the surgical removal. The cystic and calcified components needed different processing techniques for further investigations and hence each tissue sample was processed separately.

Figure 1

Panoramic radiograph...

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