Clinical and Radiographic Findings

The patient was referred by his general dentist to an Oral & Maxillofacial Surgeon to evaluate a large unilocular radiolucency in the anterior maxilla involving teeth #s 7-10. It is not painful but a swelling was present in the anterior hard palate. There was an eight mm divergence of teeth #s 8 & 9. The associated teeth are vital and show no evidence of decay or periodontal disease (Figure 1). The lesion was described to be 2 x 2 x 1.8 cm in size.

Figure 1 This radiograph was taken at the first clinical presentation; note the large, well-demarcated unilocular radiolucency associated with teeth #s 7, 8, 9 and 10.