Extensive Maxillary Radiolucent Lesion: A Case Report

2025 AÇBİD 18.Uluslararası Kongresi, Antalya, Türkiye, 24 Nisan 2025, ss.121, (Özet Bildiri)

Objective: Large maxillary lesions can present with facial swelling and pain, significantly

affecting a patient’s quality of life. Proper diagnosis and surgical intervention are crucial for

managing such cases.

Case: A 22-year-old female patient presented to our clinic with complaints of pain in the

right maxilla and facial swelling. She had no systemic diseases, medication use, or pregnancy

history. She reported undergoing cyst removal from the right posterior maxilla six years ago.

Cone-beam computed tomography (CBCT) revealed an extensive radiolucent lesion extending

from the distal aspect of tooth 13 posteriorly beyond the tuberosity, superiorly involving the

maxillary sinus and reaching the orbital floor.The patient was informed about the risks of

the procedure and the necessity of extracting multiple teeth. After careful consideration, she

returned to schedule the surgery. Under local anesthesia, teeth 14, 15, 16, and 17 were

extracted, and the lesion was completely enucleated. The patient was discharged with post-

operative care instructions.

Conclusion: This case highlights the importance of thorough radiological evaluation and timely

surgical intervention in managing large maxillary lesions. Further histopathological analysis is

required to confirm the diagnosis and guide long-term follow-up.