Clinical Findings

At presentation, a swelling in the left mandible was identified.  The swelling was not painful.  The panoramic radiograph showed a large radiolucency with scalloped border and a hint of multilocualrity.  The swelling started at the left posterior mandible and extended into the ramus.   The radiograph revealed multiple missing teeth with no impacted third molar tooth in the site.  There was no evidence of soft tissue swelling or parasthesia.   The CT scan revealed a radiolucent lesion with no mass or evidence of tumor. 

Figure 1.    Panoramic view at first presentation demonstrating large radiolucency with scalloped border and a hint of multilocular appearance extending high into the ramus.  Notice the missing teeth and the absence of teeth # 17 and 18.