Abstract
A 21-year-old man attended the surgery service for a radiolucent lesion in the mandible region. He reported trauma in the region caused a year prior to presentation. Extra- and intraoral examinations showed no changes. Imaging examination showed radiolucency extending through the region of the mandibular body, involving the area of teeth #48 to #44; also, a fourth molar was evidenced. Aspiration puncture yielded a negative result, and it was followed by incisional biopsy, curettage of the lesion, removal of tooth #48 and the supernumerary tooth, both presenting dental follicles. The result suggested a dentigerous cyst. On the basis of the diagnosis and the clinical characteristics of the lesion, a new surgical approach was chosen, aiming at new material collection and lesion decompression. The result showed trabeculae involved in fibrovascular tissue compatible with a simple bone cyst. The patient has been under a 1 year of follow-up, showing regression of the lesion.
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