Clinical examination revealed a large mass of soft tissue in the left posterior mandible around teeth #s 17-19. Teeth #s 18 & 19 were slightly mobile. The mass was found to be associated with destructive bony lesion (Figure 1) involving teeth #s 17-19 and extending superiorly into the ramus.
Figure 1 Panoramic radiograph taken at first clinical presentation. Note the ill-defined radiolucency in the posterior mandible extending superiorly into the ramus. Also note the bone loss around teeth #s 18 & 19.