Featured Patient Case #10 by UNMC College of Dentistry | Oct 8, 2021 Contributor: Dr. Nehring 71-year-old male presented to the periodontist for treatment of #30 (vertical root fracture). A CBCT taken showed an asymptomatic lesion apical to #7 measuring 20 x 14 x 9 mm. Differential diagnosis should include: (choose 3) Focal osteoporotic defect Odontogenic keratocyst Ameloblastoma Periapical cyst Traumatic bone cyst Florid cemento osseous dysplasia Next course of action: Treat with acyclovir Treat with antifungal Treat with antibiotics Biopsy with extraction of #7 No treatment is required Histology of the lesion is as shown. Your diagnosis is: Focal osteoporotic defect Periapical cyst Odontogenic keratocyst Ameloblastoma Myxoma Traumatic bone cyst Florid cemento osseous dysplasia Time's up
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