Unusual presentation of a tooth associated with an adenomatoid odontogenic tumour. (2nd June 2019)

• Record Type: Journal Article
• Authors: Patel, Nimit J; Toms, Simon; McDonald, Fraser; Johnson, Joanna; McArdle, Louis
• Is Part Of: Dental update. Volume 46:Number 6(2019)
• Page Start: 561
• Page End: 564
• Publication Date: 2019-06-02
• Subjects: Dentistry -- Periodicals; 617.6
• DOI: 10.12968/denu.2019.46.6.561
• Languages: English
• ISSNs: 0305-5000

Abstract

Abstract : Unilocular radiolucent lesions of the dental hard tissues can present regularly, however they are impossible to diagnose definitively without appropriate imaging and histopathology. A case is reported that involves a 14-year-old that presented with a history of an unerupted maxillary first premolar. An initial Dental Panoramic Tomograph (DPT) did not identify any localized opacities and was diagnosed as a dentigerous cyst. A Cone Bean Computed Tomogram (CBCT) identified calcified opacities resulting in a re-evaluated radiological interpretation. With the help of a multidisciplinary approach, the removal of the benign lesion allowed orthodontic traction to extrude the tooth and for it to be brought into alignment. CPD/Clinical Relevance: This report highlights the importance of three-dimensional imaging as an adjunct to aid diagnosis and highlights the importance of multidisciplinary teams in the management of clinical challenges.