Featured Patient Case #18

Contributor: Dr. Valmont Desa

Differential diagnosis (choose 4):

Periapical cyst

Solitary bone cyst

Nasopalatine cyst

Odontogenic keratocyst

Ameloblastoma

Central giant cell granuloma

Clinical tests should include (choose 2):

Vitality testing of #29 and 30

Biopsy

Wipe test

Nikolsky test

Vitality testing of all maxillary anterior teeth

The blue and yellow arrows are showing:

Odontogenic rests and giant cells

Calcifications and endothelial cells

Viable bone and fibroblasts

All of the above

Final diagnosis based on the microscopic finding is:

Periapical cyst

Solitary bone cyst

Odontogenic keratocyst

Ameloblastoma

Hybrid central giant cell granuloma and central odontogenic fibroma