Featured Patient Case #19 by UNMC College of Dentistry | Aug 10, 2022 Contributor: Dr. Ben Foley A 46-year-old Caucasian female presents with an asymptomatic lesion of the right posterior mandible. A radiolucent lesion was noted in association with teeth #30 and 31. Slight lingual expansion is noted. Periodontal probing depths are unremarkable, but slight bleeding is present. Teeth #30 and 31 are vital, and not mobile. Which of the following should be included on the differential diagnosis? Vascular malformation Dentigerous cyst Ameloblastoma All of the above A and C What is the most appropriate next step for the management of this patient? Excisional biopsy Pulp vitality testing Incisional biopsy Re-evaluate in one year Based on the histopathology what is the correct diagnosis? Vascular malformation Dentigerous cyst Ameloblastoma Odontogenic keratocyst Squamous odontogenic tumor The best definitive management for this lesion is? Enucleation and curettage Marginal resection 1 cm beyond the radiographic margin Embolization followed by surgical excision Marsupialization followed by enucleation and curettage Time's up
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