CONCLUSION
The case reported is an example of a normal anatomic variation in which bilateral SDs are seen . While this case is classic due to its radiographic features and location , it is unique due to its bilateral presentation . SD can present in ways that can mimic other types of pathology , such as those listed above . Advanced imaging modalities and biopsy are indicated when clinical features and initial radiological features do not clearly establish the diagnosis of SD . Advanced imaging modalities that can be considered prior to invasive surgical techniques include computed tomography , cone-beam computed tomography , magnetic resonance imaging , or sialography . These studies are less invasive than surgical options . Mostly these lesions are asymptomatic , well-corticated , located inferior to the IA canal , and have no effect on any adjacent structures . These features will aid in diagnosis without biopsy . However , if clinical concern of other pathology persists , and advanced imaging fails to aid in the diagnosis , incisional biopsy is indicated .
REFERENCES
1 . Neville BW , Damm DD , Allen CM , Chi AC . Oral and maxillofacial pathology . Fourth edition . ed . St . Louis , MO : Elsevier ; 2016 .
2 . de Courten A , Kuffer R , Samson J , Lombardi T . Anterior lingual mandibular salivary gland defect ( Stafne defect ) presenting as a residual cyst . Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002 ; 94 ( 4 ): 460-4 .
3 . Smith MH , Brooks SL , Eldevik OP , Helman JI . Anterior mandibular lingual salivary gland defect : a report of a case diagnosed with cone-beam computed tomography and magnetic resonance imaging . Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 ; 103 ( 5 ): e71-8 .
4 . Jham BC , Costa NL , Batista AC , Mendonca EF . Traumatic neuroma of the mandible : A case report with spontaneous remission . J Clin Exp Dent 2014 ; 6 ( 3 ): e317-20 .
5 . Sist TC , Jr ., Greene GW . Traumatic neuroma of the oral cavity . Report of thirty-one new cases and review of the literature . Oral Surg Oral Med Oral Pathol 1981 ; 51 ( 4 ): 394-402 .
6 . Vora AR , Loescher AR , Craig GT , Boissonade FM , Robinson PP . A light microscopical study on the structure of traumatic neuromas of the human lingual nerve . Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 ; 99 ( 4 ): 395-403 .
7 . Yang JR , Wang CJ , Kao BW , Wang YL . Traumatic Neuroma of Bilateral Mental Nerve : A Case Report with Literature Review . Taiwan J Oral Maxillofac Surg 2010 ; 21:250-65 .
8 . An SY , Lee JS , Benavides E , et al . Multiple simple bone cysts of the jaws : review of the literature and report of three cases . Oral Surg Oral Med Oral Pathol Oral Radiol 2014 ; 117 ( 6 ): e458-69 .
9 . Martins-Filho PR , Santos Tde S , Araujo VL , et al . Traumatic bone cyst of the mandible : a review of 26 cases . Braz J Otorhinolaryngol 2012 ; 78 ( 2 ): 16-21 .
10 . Johnson NR , Batstone MD , Savage NW . Management and recurrence of keratocystic odontogenic tumor : a systematic review . Oral Surg Oral Med Oral Pathol Oral Radiol 2013 ; 116 ( 4 ): e271-6 .
11 . Mendes RA , Carvalho JF , van der Waal I . Characterization and management of the keratocystic odontogenic tumor in relation to its histopathological and biological features . Oral Oncol 2010 ; 46 ( 4 ): 219-25 .
Don ’ t Miss CV Success !
PDA ’ s New Dentist Committee is hosting a CV Success program . This free program features a presentation covering tips for dental-specific CVs and a panel discussion with experienced PDA members .
Attendees also will have time to work on their own CV . The program is open to fourth-year dental students from the University of Pittsburgh and new dentists . Please contact Andrea Hoover at ach @ padental . org with questions .
CV SucCESS Event info : Thursday , March 30 | 6-9 p . m . Hyatt House , Pittsburgh-South Side 2795 S Water St Pittsburgh , PA 15203 Register now at www . padental . org / calendar
JANUARY / FEBRUARY 2017 | PENNSYLVANIA DENTAL JOURNAL 33