Abstract
A panoramic radiographic image (Fig. 1) demonstrated a honeycomb pattern of bone in the anterior-inferior mandible that extends from tooth #23 to the area of tooth #29. This prominent bone density and trabeculation could be interpreted as a fibro-osseous lesion. The periphery appears smoothly demarcated from the adjacent unaffected bone but failed to reveal the expansile aspect of the lesion. The panoramic radiograph did show that the inferior border had a scalloped periphery with a concave, semi-lunar appearance at the mental process with involvement of the cortex in this area. This involvement appeared to extend into soft tissue as a separate fragment of speckled bone was noted to be disjointed from the mandible as a clear demarcation is evident. Imaging studies (Fig. 2) showed marked expansion of the anterior mandible anteriorly with internal septations noted. The lesion approached the periapical region of the teeth of the anterior mandible, but was not intimately involved with the teeth.
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