Journal of Clinical & Experimental Pathology
Open Access

Abstract

A 49 year old African American female was referred to the Oral and Maxillofacial Surgery Clinic at the University of Detroit Mercy, School of Dentistry for evaluation of a large, right mandibular radiolucency. Clinical examination revealed an asymptomatic slight buccal expansion of the right mandible. All teeth tested vital. Panoramic radiography revealed a large well defined, multilocular radiolucent lesion spanning from the apex of tooth #27 to the ascending ramus distal to tooth #32. Other radiopaque lesions with radiolucent margins were noted at the apices of the mandibular incisors, left canine, first premolar and first molar. Computed tomography revealed a non specific expansile cystic lesion within the right mandibular body surrounding the roots of the right mandibular first through third molars as well as partially surrounding the roots of the right mandibular canine and the first and second premolars. Exploration of the lesion was performed under local anesthesia. Aspiration of the lesion yielded a yellowish fluid and the cavity that was surgically explored appeared hollow with a thin soft tissue lining. The H&E stain histopathology showed a mixture of loose fibrovascular connective tissue, fragments of vital bone, a mild infiltrate of chronic inflammatory cells and extravasated erythrocytes. The histopathology, in conjunction with the surgical findings and radiography were consistent with a diagnosis of a simple bone cyst with concomitant cemento-osseous dysplasia. Observation of the lesion will be continued until complete healing is radiographically confirmed and outcome of the lesion will be reported in the future.

Biography

Sung Yong Han is currently a 4th year Dental Student at the University of Detroit, Mercy School of Dentistry, Detroit, MI.

Email: jminden08@gmail.com