The Diagnostic Dilemma of an Odontogenic Jaw Lesion in a Pediatric Patient: A Case Report

Abstract

This paper presents a case report of a 10-year-old child patient reported with the chief complaint of a painless, hard swelling in the lower right back region of the jaw. The clinical and radiographic examination, including intraoral periapical radiograph (IOPA) and cone-beam CT (CBCT), was performed. Conservative treatment was planned based on the clinical and radiological diagnosis of the cyst. But the histological examination revealed unicystic ameloblastoma (UA). This clinical case of UA, which was misdiagnosed as a combination of a radicular cyst and a dentigerous cyst, is being presented to highlight the importance of histopathologic investigation of all tissue specimens retrieved after surgery, particularly when the clinical and radiological findings are insignificant.

The Role of Orthodontics in the Management of Maxillofacial Fractures in Children: A Review on Contemporary Approaches

“…The splint was removed under local anesthesia after two months due to missed follow-up, revealing stable occlusion and good healing on the orthopantomogram. Monthly follow-up continued for five months, with a favorable prognosis [ 20 ].…”

“…These could either be open or closed splints. Open splints are indicated in case of displaced fractures that need to be stabilized with the help of circum-mandibular wiring [ 20 ]. Conversely, closed occlusal splints can be directly cemented over teeth in minimally or completely undisplaced fracture segments [ 47 ].…”