Clinical  and Radiographic Findings

The clinical examination revealed no evidence of swelling or pain.  Radiographic findings were positive for a well-defined and partially corticated 1 X 2 cm unilocular radiolucency at the apex of teeth #s 22-23 (Figure 1).  The lamina dura and periodontal ligament of these two teeth were intact and the teeth were vital.  The patient also had a developed crown of teeth #s 1 and 16 surrounded by a dental follicle. 

Figure 1.  Panoramic view at first presentation demonstrating a well-demarcated, round and unilocular radiolucency at the apices of teeth #s 22 and 23.  Notice the developed crowns of teeth #s 1 and 16 each surrounded by a dental follicle.