Featured Patient Case #18 by UNMC College of Dentistry | Jul 2, 2022 Contributor: Dr. Valmont Desa 49 year old female presents with an expansile lesion adjacent to #29-30. Unknown duration. 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 Time's up
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