September/October 2016 | Page 32

A CASE REPORT AND CLINICOPATHOLOGIC REVIEW

Unilocular Radiolucency of the Anterior Mandible:

A CASE REPORT AND CLINICOPATHOLOGIC REVIEW
AUTHORS
Tessie Buraczewski DMD
Bilodeau Elizabeth DMD, MD
Associate Professor, Oral and Maxillofacial Pathology, School of Dental Medicine, University of Pittsburgh
Anitha Potluri BDS, DMD, MDSc
Associate Professor, Oral and Maxillofacial Radiology, School of Dental Medicine, University of Pittsburgh
Address:
G-132, 3501 Terrace Street, Pittsburgh, PA 15261
Resident, Oral and Maxillofacial Pathology, University of Pittsburgh Medical Center
tmb55 @ pitt. edu
CASE PRESENTATION
A healthy, 14-year-old female presented to the University of Pittsburgh Dental Health Services faculty practice with chief complaints of crowding of the mandibular teeth and an asymptomatic lesion of the anterior mandible, found on routine radiographs. The lesion was found incidentally on panoramic and lateral cephalometric radiographs during an orthodontic screening evaluation. A panoramic radiograph revealed a well-defined corticated radiolucency of the anterior mandible, extending from tooth # 22 to tooth # 28. Superiorly, the lesion extended with scalloping around the roots of the teeth and inferiorly, it extended to the mental ridge sparing the genial tubercles( Figure 1). No effects on the adjacent anatomical structures and on the nearby teeth were noted. The teeth in the area were vital. Computed tomographic( CT) imaging was prescribed to further define the extent and the content of the lesion( Figure 2). CT imaging showed the lesion was separate from the nearby teeth with a well-defined corticated border with minimal expansion, septations, and no soft tissue density areas within the lesion( Figure 3a, 3b, and 3c).
30 SEP / OCT 2016 | PENNSYLVANIA DENTAL JOURNAL