A 35-year-old male patient was similarly referred to Secunderabad Dental Imaging Centre (Hyderabad, India) to undergo routine panoramic radiography. The panorama revealed a cystic cavity on the left side below the second molar and mandibular canal, anterior to the angle of the mandible. () Medical and dental history was not contributory. 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 situated below the mandibular canal and measured 4.7×12.7×16.6 mm (height ×breadth×length).() The long axis of the lesion was situated horizontally in the left side. Cross-sections revealed a mandibular canal within the lesion without any pressure effect.() The patient was asymptomatic and there was no parasthesia or anaesthesia. The buccal wall and the inferior border were intact and there was no expansion (); however, the lingual wall was involved and the inferior border showed some pressure atrophy.\nA radiographic diagnosis of SBC was considered and the patient was recommended for regular follow-up.
The asymptomatic patient, a 60-year-old man, was referred to a radiology clinic to undergo examination for the purpose of implant planning. The panoramic radiograph revealed no important alterations in the mandible (). The patient underwent multidetector computed tomography (MDCT) (Synergy Helicoidal, General Electric Company, Milwaukee, WI), with slices and intervals of 0.625 mm, field of view 15.8 cm, matrix 512 × 512, standard filter, 120 kV and 200 mA.\nThe tomographic images clearly showed multiple cavitary defects, two in the anterior region (anterior variant) and one in the posterior region (posterior variant) (Figures , , and ). Intracavitary tomographic density (Hounsfield units) suggested glandular tissue in the anterior defects and fat in the posterior defect.