4. Conclusion
Due to its aggressive nature, odontogenic myxoma, though benign,
requires extreme levels of awareness throughout the diagnosis,
treatment, and follow-up phases. This benign odontogenic tumor can
present with a wide variety of clinical and radiological depictions. As
seen in our case, it presented with a unilocular radiolucency
encompassing teeth roots, highly mimicking the clinical behavior of a
radicular cyst. The alternating multiloculartiy and unilocularity
characteristics of this lesion compels the clinician to consider
numerous differential diagnosis which can only be fortified by a
thorough histological analysis in order to reach a definitive diagnosis
which was unfortunately lacking on the side of our patient’s primary
dentist, leading to unnecessary mistreatments of three endodontically
sound teeth and further expansion of the lesion, leaving a larger
residual defect. This report intends to compare classic presentations of
odontogenic myxoma in contrast to our case in terms of unorthodox
region, the fact that it crossed the midline of the jaw, and altered
radiographic appearance, evolving from unilocular to multilocular
pattern which occurs very rarely. We also suggest a detailed and
comprehensive evaluation of lesions and strongly advocate against
premature treatments before reaching a definitive diagnosis. As in our
case, if proper management had been done by the patient’s primary
dentist, three teeth could have been salvaged and not mistakenly treated
and further destruction of cortical bone could have been prevented.