![Page 1: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/1.jpg)
©2017 www.centralenglandreferrals.co.uk
KNOWLEDGEHUB
Largemultilocularmandibularlesion,incidentalfindingMr.LuisBruzual
Sharingknowledgeandstimulatingconversation
betweendentalprofessionals.
ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensation
thatherteethLR3,LR4andLR5hadmovedandwereloose.
Lookthroughthecaseandjoinintheconversationsonline.
DrLuisBruzualCaseStudyJan2017
![Page 2: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/2.jpg)
DIA
GNOSIS
www.centralenglandreferrals.co.uk
ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensationthatherteethLR3,LR4and
LR5hadmovedandwereloose.
DrLuisBruzualCaseStudyJan2017©2017
![Page 3: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/3.jpg)
DIA
GNOSIS
www.centralenglandreferrals.co.uk
OPGrevealedlargemultilocularradiolucentimageonthelowerrightquadrantwithrootresorptionandmovement.
DrLuisBruzualCaseStudyJan2017©2017
![Page 4: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/4.jpg)
DIA
GNOSIS
www.centralenglandreferrals.co.uk
CTconfirmedalargeosteolyticimageextendingtothemandibularramus.
DrLuisBruzualCaseStudyJan2017©2017
![Page 5: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/5.jpg)
DIA
GNOSIS
www.centralenglandreferrals.co.uk
AngioCTruledoutavascularintrabonylesion.Areasofboneperforationandexpansioncouldbeseeninthe3Dimages.
DrLuisBruzualCaseStudyJan2017©2017
![Page 6: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/6.jpg)
TREA
TMEN
T
www.centralenglandreferrals.co.uk
Initialincisionalbiopsyconfirmedhistologicaldiagnosisofodontogenicmyxoma.DecisionwastakentoperformconservativeexcisionoflesionwithoutmarginalresectionunderGA
DrLuisBruzualCaseStudyJan2017©2017
![Page 7: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/7.jpg)
TREA
TMEN
T
www.centralenglandreferrals.co.uk
Intraopertiveviewshowingpreservationofmandibularbonewithoutdiscontinuityandcompleteintra-oralapproach.IDwassacrificedasitwasinrelationtolesion.
DrLuisBruzualCaseStudyJan2017©2017
![Page 8: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/8.jpg)
TREA
TMEN
T
www.centralenglandreferrals.co.uk
InitialOPG1weekpostoperativerevealingextentofexcisedlesionandpreservationofmandibularbone.
DrLuisBruzualCaseStudyJan2017©2017
![Page 9: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/9.jpg)
RES
ULT
www.centralenglandreferrals.co.uk
20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants
DrLuisBruzualCaseStudyJan2017©2017
![Page 10: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/10.jpg)
RES
ULT
www.centralenglandreferrals.co.uk
20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants
DrLuisBruzualCaseStudyJan2017©2017
![Page 11: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/11.jpg)
RES
ULT
www.centralenglandreferrals.co.uk
Intraoralviewsshowingsofttissue,temporarydentureandongoingorthodontics.Patientisnowreadyforimplantretainedrestoration
DrLuisBruzualCaseStudyJan2017©2017
![Page 12: Large multilocular mandibular lesion, incidental finding](https://reader036.vdocument.in/reader036/viewer/2022062311/58f263831a28abf8148b4597/html5/thumbnails/12.jpg)
Click here to refer to Mr Bruzual or: Call 0121 478 3770 Email [email protected]
Typesofpatienttobereferred:
Alveolarreconstruction&preservationforimplantsWisdomteethextractions
DifficultsurgicalextractionsImpactedcanines
ExtractionsfororthodonticreasonsExposureandbondingofimpactedteeth
SofttissuelesionsIntrabonycysticlesions
Apicalsurgery-ApicectomiesReferra ls to Lu is Bruzua l
www.centralenglandreferrals.co.uk DrLuisBruzualCaseStudyJan2017©2017