Clinical Findings

The patient presented with 3+ mobility and pain in association with tooth #31. This tooth was associated with a large and irregular unilocular radiolucency at the apex extending towards the ramus (Fig 1) as demonstrated by the panoramic radiograph. An oral examination demonstrated multiple missing teeth. The CT-scan studies revealed a destructive lesion of the right mandible with soft tissue extension. No other lesions were noted on the CT-scan.  

 

Figure 1. Panoramic radiograph at presentation demonstrating a large unilocular radiolucency with irregular borders at the apex of tooth # 31. The latter has a small filling and was 3+ mobile at presentation. It was also vital.