BMJ Case Reports 2009; doi:10.1136/bcr.07.2008.0428
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Mandibular neurofibromatosis type 1 misdiagnosed and treated as odontogenic abscess

  1. Farouk Bassam Rihani
  1. Jordanian Royal Medical Services, Dentistry, IRBID, Al-Huson, PO Box 434, 21510, Jordan
  1. Farouk Rihani, fbrihani{at}
  • Published 14 April 2009

Mandibular swellings associated with impacted and submerged teeth might be the tip of the iceberg and mimic those caused by odontogenic infection, especially in early childhood.

A 6-year-old girl presented with right persistent mandibular swelling. She was treated by an oral surgeon for seven months with multiple courses of oral antibiotics and, subsequently, surgical extraction under general anaesthesia of her submerged right mandibular second deciduous molar as the offending cause.

On physical examination she had multiple smooth-edged café au lait macules, axillary freckling and bilateral multiple iris …

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