Transcript
Page 1: Large multilocular mandibular lesion, incidental finding

©2017 www.centralenglandreferrals.co.uk

KNOWLEDGEHUB

Largemultilocularmandibularlesion,incidentalfindingMr.LuisBruzual

Sharingknowledgeandstimulatingconversation

betweendentalprofessionals.

ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensation

thatherteethLR3,LR4andLR5hadmovedandwereloose.

Lookthroughthecaseandjoinintheconversationsonline.

DrLuisBruzualCaseStudyJan2017

Page 2: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensationthatherteethLR3,LR4and

LR5hadmovedandwereloose.

DrLuisBruzualCaseStudyJan2017©2017

Page 3: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

OPGrevealedlargemultilocularradiolucentimageonthelowerrightquadrantwithrootresorptionandmovement.

DrLuisBruzualCaseStudyJan2017©2017

Page 4: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

CTconfirmedalargeosteolyticimageextendingtothemandibularramus.

DrLuisBruzualCaseStudyJan2017©2017

Page 5: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

AngioCTruledoutavascularintrabonylesion.Areasofboneperforationandexpansioncouldbeseeninthe3Dimages.

DrLuisBruzualCaseStudyJan2017©2017

Page 6: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

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Initialincisionalbiopsyconfirmedhistologicaldiagnosisofodontogenicmyxoma.DecisionwastakentoperformconservativeexcisionoflesionwithoutmarginalresectionunderGA

DrLuisBruzualCaseStudyJan2017©2017

Page 7: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

www.centralenglandreferrals.co.uk

Intraopertiveviewshowingpreservationofmandibularbonewithoutdiscontinuityandcompleteintra-oralapproach.IDwassacrificedasitwasinrelationtolesion.

DrLuisBruzualCaseStudyJan2017©2017

Page 8: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

www.centralenglandreferrals.co.uk

InitialOPG1weekpostoperativerevealingextentofexcisedlesionandpreservationofmandibularbone.

DrLuisBruzualCaseStudyJan2017©2017

Page 9: Large multilocular mandibular lesion, incidental finding

RES

ULT

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20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants

DrLuisBruzualCaseStudyJan2017©2017

Page 10: Large multilocular mandibular lesion, incidental finding

RES

ULT

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20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants

DrLuisBruzualCaseStudyJan2017©2017

Page 11: Large multilocular mandibular lesion, incidental finding

RES

ULT

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Intraoralviewsshowingsofttissue,temporarydentureandongoingorthodontics.Patientisnowreadyforimplantretainedrestoration

DrLuisBruzualCaseStudyJan2017©2017

Page 12: Large multilocular mandibular lesion, incidental finding

Click here to refer to Mr Bruzual or: Call 0121 478 3770 Email [email protected]

Typesofpatienttobereferred:

Alveolarreconstruction&preservationforimplantsWisdomteethextractions

DifficultsurgicalextractionsImpactedcanines

ExtractionsfororthodonticreasonsExposureandbondingofimpactedteeth

SofttissuelesionsIntrabonycysticlesions

Apicalsurgery-ApicectomiesReferra ls to Lu is Bruzua l

www.centralenglandreferrals.co.uk DrLuisBruzualCaseStudyJan2017©2017


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