12
© 2017 www.centralenglandreferrals.co.uk KNOWLEDGE HUB Large multilocular mandibular lesion, incidental finding Mr. Luis Bruzual Sharing knowledge and stimulating conversation between dental professionals. This girl was referred by her GDP to Mr. Luis Bruzual after suffering pain and sensation that her teeth LR3, LR4 and LR5 had moved and were loose. Look through the case and join in the conversations online. Dr Luis Bruzual Case Study Jan 2017

Large multilocular mandibular lesion, incidental finding

Embed Size (px)

Citation preview

Page 1: Large multilocular mandibular lesion, incidental finding

©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

DIA

GNOSIS

www.centralenglandreferrals.co.uk

ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensationthatherteethLR3,LR4and

LR5hadmovedandwereloose.

DrLuisBruzualCaseStudyJan2017©2017

Page 3: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

OPGrevealedlargemultilocularradiolucentimageonthelowerrightquadrantwithrootresorptionandmovement.

DrLuisBruzualCaseStudyJan2017©2017

Page 4: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

CTconfirmedalargeosteolyticimageextendingtothemandibularramus.

DrLuisBruzualCaseStudyJan2017©2017

Page 5: Large multilocular mandibular lesion, incidental finding

DIA

GNOSIS

www.centralenglandreferrals.co.uk

AngioCTruledoutavascularintrabonylesion.Areasofboneperforationandexpansioncouldbeseeninthe3Dimages.

DrLuisBruzualCaseStudyJan2017©2017

Page 6: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

www.centralenglandreferrals.co.uk

Initialincisionalbiopsyconfirmedhistologicaldiagnosisofodontogenicmyxoma.DecisionwastakentoperformconservativeexcisionoflesionwithoutmarginalresectionunderGA

DrLuisBruzualCaseStudyJan2017©2017

Page 7: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

www.centralenglandreferrals.co.uk

Intraopertiveviewshowingpreservationofmandibularbonewithoutdiscontinuityandcompleteintra-oralapproach.IDwassacrificedasitwasinrelationtolesion.

DrLuisBruzualCaseStudyJan2017©2017

Page 8: Large multilocular mandibular lesion, incidental finding

TREA

TMEN

T

www.centralenglandreferrals.co.uk

InitialOPG1weekpostoperativerevealingextentofexcisedlesionandpreservationofmandibularbone.

DrLuisBruzualCaseStudyJan2017©2017

Page 9: Large multilocular mandibular lesion, incidental finding

RES

ULT

www.centralenglandreferrals.co.uk

20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants

DrLuisBruzualCaseStudyJan2017©2017

Page 10: Large multilocular mandibular lesion, incidental finding

RES

ULT

www.centralenglandreferrals.co.uk

20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants

DrLuisBruzualCaseStudyJan2017©2017

Page 11: Large multilocular mandibular lesion, incidental finding

RES

ULT

www.centralenglandreferrals.co.uk

Intraoralviewsshowingsofttissue,temporarydentureandongoingorthodontics.Patientisnowreadyforimplantretainedrestoration

DrLuisBruzualCaseStudyJan2017©2017

Page 12: Large multilocular mandibular lesion, incidental finding

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