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.