Unusual Aggressive Radiographic Appearance of Simple Bone Cyst (A Case Report and Review of Literature)

Abstract

Aim: This study reports a rare case of simple bone cyst (SBC) with a radiographic behavior similar to malignancies and a mixed internal structure in a 43 year-old woman who presented to a dental office with clinical symptoms. Presentation of Case: A 43 year-old woman presented to a dental office with chief complaint of pain at left mandibular molars for almost 2 months. She was wearing a cervical collar for some spine problems. The panoramic x-ray showed a radiolucent lesion with well defined non-corticated borders in periapical region of the mandibular left first molar (tooth 36). The tooth was vital. Cone Beam Computed Tomography (CBCT) images showed a lytic lesion with well defined noncorticated borders that destructs the lingual cortical wall without any sign of expansion to soft