History of Present Illness

This is a 5-year-old male who was referred to Childrenís Hospital and Regional Medical Center Oral and Maxillofacial Surgery Department by Dr. GB Givler of Helena, Montana. The patientís family reported a history of incidental finding of a mandibular lesion at a dental visit on March 4, 2004. He had multiple premature resorption and exfoliation of the deciduous teeth. A panoramic radiograph revealed bilateral mandibular well-defined radiolucencies extending into the ramus. The patient went through an incisional bone biopsy and extraction of multiple deciduous teeth.

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.