A 31-year-old asymptomatic male patient was referred to Secunderabad Dental Imaging Centre (Hyderabad, India) to undergo routine panoramic radiography. The panorama revealed a cystic lesion in the left posterior mandible just anterior to the mandibular angle and below the third molar and mandibular canal.() There was no significant medical or dental history. There was no tenderness on bidigital palpation at the site of the lesion. For further analysis, CBCT restricted to the area of lesion was performed. The results revealed a complete radiolucent lesion that was regular, oval in shape, and well corticated.() The lesion was located below the mandibular canal and measured 11.8×8.4×14.1 mm (height×breadth×length).() The long axis of the lesion was placed horizontally on the left side. The cross-sections revealed a close relationship with the mandibular nerve without any pressure effect.() The patient was asymptomatic and there was no parasthesia or anaesthesia. The buccal wall was intact and there was no expansion (); however, the lingual wall was involved. The inferior border was also intact with little pressure atrophy.\nA radiographic diagnosis of SBC was considered and the patient was advised to undergo regular follow-up examinations.
A 49-year-old asymptomatic male patient was referred to a private clinic in order to undergo routine panoramic radiography. Results showed an oval-shaped, radiolucent area of cystic aspect and regular, well-defined cortical outline; its longest axis was placed horizontally in the left hemimandible. This lithic area, located under the lower left third molar, was anterior to the mandibular angle, and reached the border of the mandible, which showed thinner than normal width due to the presence of the bone defect. The apparent unity of the upper contour of the lesion and the upper wall of the mandibular canal gave them a thicker than normal appearance. The fact that the lower wall of the mandibular canal was visible within the radiolucent area showed that there could be a neighboring relationship, but not an involvement, of the inferior alveolar nerve ().\nAs a hard buccal protuberance was perceived on palpation, a CT was performed. The coronal view in the CT scan showed that there had been a distention of the mandibular buccal cortex and that glandular tissue had been spreading into the bone defect. A further coronal view revealed the buccal location of the mandibular canal, which was preserved (Figures and ).\nA previous scintigraphy revealed an inflammatory condition associated with an obstructive process involving the submandibular glands, particularly on the left side ().