Post on 21-Jan-2018
©2017 www.centralenglandreferrals.co.uk
KNOWLEDGEHUB
Largemultilocularmandibularlesion,incidentalfindingMr.LuisBruzual
Sharingknowledgeandstimulatingconversation
betweendentalprofessionals.
ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensation
thatherteethLR3,LR4andLR5hadmovedandwereloose.
Lookthroughthecaseandjoinintheconversationsonline.
DrLuisBruzualCaseStudyJan2017
DIA
GNOSIS
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ThisgirlwasreferredbyherGDPtoMr.LuisBruzualaftersufferingpainandsensationthatherteethLR3,LR4and
LR5hadmovedandwereloose.
DrLuisBruzualCaseStudyJan2017©2017
DIA
GNOSIS
www.centralenglandreferrals.co.uk
OPGrevealedlargemultilocularradiolucentimageonthelowerrightquadrantwithrootresorptionandmovement.
DrLuisBruzualCaseStudyJan2017©2017
DIA
GNOSIS
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CTconfirmedalargeosteolyticimageextendingtothemandibularramus.
DrLuisBruzualCaseStudyJan2017©2017
DIA
GNOSIS
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AngioCTruledoutavascularintrabonylesion.Areasofboneperforationandexpansioncouldbeseeninthe3Dimages.
DrLuisBruzualCaseStudyJan2017©2017
TREA
TMEN
T
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Initialincisionalbiopsyconfirmedhistologicaldiagnosisofodontogenicmyxoma.DecisionwastakentoperformconservativeexcisionoflesionwithoutmarginalresectionunderGA
DrLuisBruzualCaseStudyJan2017©2017
TREA
TMEN
T
www.centralenglandreferrals.co.uk
Intraopertiveviewshowingpreservationofmandibularbonewithoutdiscontinuityandcompleteintra-oralapproach.IDwassacrificedasitwasinrelationtolesion.
DrLuisBruzualCaseStudyJan2017©2017
TREA
TMEN
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InitialOPG1weekpostoperativerevealingextentofexcisedlesionandpreservationofmandibularbone.
DrLuisBruzualCaseStudyJan2017©2017
RES
ULT
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20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants
DrLuisBruzualCaseStudyJan2017©2017
RES
ULT
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20monthsfollowupOPGaftersurgicalexcision.Norecurrenceseenandboneregenerationforfuturedentalimplants
DrLuisBruzualCaseStudyJan2017©2017
RES
ULT
www.centralenglandreferrals.co.uk
Intraoralviewsshowingsofttissue,temporarydentureandongoingorthodontics.Patientisnowreadyforimplantretainedrestoration
DrLuisBruzualCaseStudyJan2017©2017
Click here to refer to Mr Bruzual or: Call 0121 478 3770 Email info@centralenglandreferrals.co.uk
Typesofpatienttobereferred:
Alveolarreconstruction&preservationforimplantsWisdomteethextractions
DifficultsurgicalextractionsImpactedcanines
ExtractionsfororthodonticreasonsExposureandbondingofimpactedteeth
SofttissuelesionsIntrabonycysticlesions
Apicalsurgery-ApicectomiesReferra ls to Lu is Bruzua l
www.centralenglandreferrals.co.uk DrLuisBruzualCaseStudyJan2017©2017