Featured Patient Case #14 by UNMC College of Dentistry | Feb 5, 2022 Contributor: Dr. Kevin Rieck A 58-year-old Caucasian female presents with a lesion of the right posterior mandible. The patient reports a recent history of jaw pain and swelling. It is painful when she bites down on #31. Which of the following should be included on the differential diagnosis? Odontogenic keratocyst Ameloblastoma Dentigerous cyst All of the above A and B What is the most appropriate next step for the management of this lesion? Excisional biopsy Pulp vitality testing Incisional biopsy Extract #31 Based on the histopathology what is the correct diagnosis? Odontogenic keratocyst Ameloblastoma Odontogenic myxoma Dentigerous cyst Metastatic carcinoma How is this lesion best managed? Marsupialization followed by enucleation, curettage and peripheral ostectomy Radiation therapy Enucleation, curettage and peripheral ostectomy Marginal resection 1 cm beyond the radiographic margin Time's up
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