Featured Patient Case #20

Contributor: Dr. Desa

Which of the following should be included on the 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

The 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