Clinically, a large swelling was identified in the area of tooth # 32. The patient reported pain in the area. Panoramic radiograph showed a well-demarcated lesion of mixed bony origin with a radiopaque mass in the center and a prominent radiolucent rim at the periphery (Figure 1). Radiographically, this lesion appeared to be closely associated with tooth #32. However, at surgery, it was clearly separate from the impacted tooth.
Figure 1 Panoramic view at first presentation demonstrating impacted tooth #32 associated with a well-demarcated radiolucent/radiopaque mass giving the impressing of pushing tooth #32 inferiorly.