Clinical  and Radiographic Findings

Fullness in the posterior jaws was evident clinically and more prominently in the right side of the mandible. This was confirmed radiographically where bilateral multilocular radiolucencies (Fig 1) with focal areas of complete compartment formation were evident. The symmetrical bilateral radiolucencies involved the unerupted first and second molar teeth. The radiolucencies are well-demarcated to corticated and involve the angle of the mandible extending posteriorly into the ramus, typical of this condition. The features of the panoramic radiograph were confirmed by the CT scan image (Fig 2).

Figure 1.  Panoramic view at first presentation demonstrating symmetrical and bilateral multilocular radiolucency involving the first and second mandibular molars and extending posteriorly into the ramus.
  Figure 2.  CT scan showing swelling and buccal and lingual expansion of the bilateral mandible involving the ramus.