How would you diagnose this?

Joined
Mar 19, 2015
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Hi, I am a dentistry student and I ran into this image on a mobile app that I use to follow interesting dental cases, called Figure 1. I struggled to give a diagnosis at the beginning.

What do you think it is?

(Source: https://app.figure1.com/image/0/53cd961646814fc4210003d2)

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