lower right jaw pain - What is this lesion?

Chief Complaint A 41 y/o female presents with pain in the lower right jaw radiating to ramus. Clinical Examination Grade 2 mobility irt 47. Pain on palpitation. Investigations OPG shows radiolucent lesion irt 47 involving the body of the mandible & posteriorly into the ramus. Diagnosis What are your views. Treatment Please give your inputs.

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AS. PER. OPG. .... ...IRREGULARLY. BORDERED ..UNIOCULAR ILL- DEFINED... . ... .RADIOLUCENCY .... CLINICALLY... ... 47. IS. MOBILE.. ..AND RADIATING. PAIN... .. SUGGESTIVE. OF... LESION. IS SECONDARY. TO.. ..SOME. SYSTEMIC MALIGNANCY.. POSSIBLY... POORLY. DIFFERENTIATED.. METASTATIC MALIGNANT NEOPLASM... ADVISABLE... 1. EXTRACTION. OF. 47 2. INCISIONAL. BIOPSY. OF. SOFT. TISSUE. AND. PERIPHERAL. GINGIVA. 3. COMPLETE. DETAILS. OF. MEDICAL. HISTORY. OF. PATIENT .. MANAGEMENT.. ...... IF. PROVED. AS. .. METASTASES.... .. CHEMOTHERAPY PROGNOSIS..... NOT. SO. GOOD.. ..

DD: keratocyst

Only radilucency? Or there is extraoral swelling too? Looks like ossifying fibroma. Pain could be due to inferior alveolar nerve involvement. But further investigations needed to confirm the diagnosis.

May be osteomo/Root abscess

Ameloblastoma or Dentigerous cyst? Adv 3D CT face axial and coronal section

Unilocular radiolucency in right ramus wrt 47 Irregular borders and mobility of tooth s/o neoplastic transformation. Pain is due to inferior alveolar nerve involvement Adv CBCT and HPE

Do a CT scan Do biopsy What is the size and consistency of lesion Dd Okc Dentigerous cyst Squamous odontogenic tumor

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