History of Present Illness

This is a 47-year-old male with an incidental discovery of a left mandibular radiolucency around an impacted tooth #17. The area was asymptomatic with no evidence of swelling, expansion or pain. Although the lesion extended inferiorly and pushed on the alveolar canal (Fig 1), no neural deficit was detected. Patient has a history of tobacco use. He ceased smoking a year ago. The pre-operative WBC was 7.5, RBC 4.9, HGB 15.7 and PLT 298.

Figure 1.  Panoramic view at first presentation demonstrating a well-demarcated, unilocular radiolucency extending posteriorly into the ramus and associated with the crown of an impacted third molar.