Nevoid basal cell carcinoma syndrome (Gorlin-Goltz syndrome)
A 13-year-old-boy reported to the Department of Pedodontics and Preventive Dentistry with the chief complaint of swelling and pain in the lower left back teeth region. On clinical examination, extra oral swelling which was tender and hard in consistency extending from the anterior border of the left ramus to the left parasymphysis region measuring approximately 4×3 cm [] was observed. On physical examination, presence of dysmorphic facial features like relative macrocephaly and ocular hypertolorism were observed. Sprangal scapular deformity [] and palmar and planter pits [] were also observed. On intraoral examination, grossly decayed mandibular left second primary molar and swelling in the vestibule region was observed.\nIntraoral periapical radiograph revealed the presence of large radiolucent area with sclerotic border, suggestive of a cyst. Orthopantomograph revealed the presence of multiple cysts both in maxilla and mandible []. Considering the possibility of the NBCCS with the above features, further investigations were carried out. Computed tomography showed ectopic calcification of the falx cerebrai [] and presence of multiple cysts in the maxilla [] and mandible []. Antero-posterior view of the chest showed the presence of bifid rib in the posterior aspect of the right 3rd rib and rib expansion was noted in the anterior end of the left 3rd and 4th rib []. Lateral cephalograph showed bridging of the sella turcica [].