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.