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 66-year-old healthy man was referred from a private dental clinic for evaluation of a multilocular radiolucency at the left molar region of the mandible. Panoramic radiograph revealed a well-defined multilocular radiolucent area under the mandibular canal at the distal root of the second molar tooth (). The lesion showed three lobulated radiolucencies with radiopaque margins in the region of the submandibular gland fossa. On clinical examination, there was no sign of infection, fistula, or nerve damage. No history of expansion on the left mandibular angle area was recorded. The patient had no systemic disease and no specific medical history.\nCBCT scan was recommended for further study. Axial CBCT images showed a lingual bony defect located at the lingual side of the mandibular canal (). Coronal CBCT images showed a lobulated bony defect below the mandibular canal (). The maximum mesiodistal length of the defect was 14.16 mm, and the height was 7.38 mm. The maximum buccolingual length of the defect was 4.44 mm, not showing the expansion or thinning of the buccal cortical bone.\nParasagittal CBCT images showed three lobulated radiolucencies with radiopaque margins between the mandibular canal and the inferior border of the mandible (). Three-dimensional, reformatted CBCT images revealed a bony defect extending from the medial surface of the mandible ().\nThe lesion was diagnosed as a developmental salivary gland defect from the radiographic features. The patient was informed about the lesion and was scheduled for follow-up.