This large radiolucency is of unknown duration and is asymptomatic. It involves the body, angle, and the ramus of the right mandible. All teeth are vital. Tooth # 32 is deeply impacted. Clinical examination and radiographic findings revealed no evidence of swelling and the patient denied any pain or parasthesia.
Figure 1 This is a CBCT panoramic view taken at the first clinical presentation. The radiograph demonstrates a very large scalloped radiolucency with slight multilocularity. It starts anteriorly from tooth #28 and progresses posteriorly to the high ramus. Note the root resorption involving teeth #s 29 & 30. Also note the cortical bone perforation apical and between teeth #s 28 & 30. Cortcal perforation is also noted at the angle of the mandible.