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A case report of an unusual presentation of a keratocystic odontogenic tumour in the anterior mandible

From Volume 43, Issue 9, November 2016 | Pages 891-893

Authors

Vathana Ketheeswaranathan

University Hospital

Articles by Vathana Ketheeswaranathan

Renu George

University Hospital

Articles by Renu George

Manisali Croydon

University Hospital

Articles by Manisali Croydon

Article

Keratocystic odontogenic tumours (KCOTs) are commonly seen in the posterior mandible. They can also rarely occur in the anterior mandible and mimic a lateral periodontal cyst (LPC). Intrabony pathology is rarely seen in the anterior mandible and unilocular appearance is even rarer. We present a case report of a KCOT of the anterior mandible which appeared in the plain radiographs as a unilocular radiolucency and clinically resembled a lateral periodontal cyst.

A 23-year-old male patient was referred to the Department of Oral and Maxillofacial Surgery by the GDP with a swelling in the lower right lateral incisor and lower right canine region with a duration of 3 weeks. The patient was asymptomatic. Clinical examination revealed a 1 cm diameter fluctuant swelling in the attached gingivae of the LR2 and LR3 extending into the labial/buccal sulcus and obliterating the sulcus. Mucosa overlying the swelling looked normal in colour. LR2 and LR3 were vital for ethyl chloride pulp testing.

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