Traumatic bone cyst of anterior mandible: A surgical approach

Abstract

This case report presents a 23 year old male patient who reported with pain in his anterior mandible since a week. History revealed an incidence of trauma on his chin when he was young for which he did not undergo any treatment. On examination buccal cortical expansion was clinically evident and tenderness was elicited on percussing over the lower anterior teeth. Aspiration was negative initially while, it showed serous blood the second time. Radiograph featured a unilocular radiolucency extending from left mandibular first premolar to right mandibular first molar with evidence of inter-radicular scalloping. With all these clinical and radiographic features we could arrive at a provisional diagnosis of traumatic bone cyst. A complete surgical excision followed by curettage of the cystic cavity was performed. The excised specimen was sent for histopathological evaluation. Histology showed presence of dense connective tissue, chronic inflammatory cell infiltrate and a normal bone with no epithelial lining. *Correspondence to: Balamurugan R, MDS, Oral and Maxillofacial Surgeon, RYA COSMO Foundation Hospital, India, E-mail: bala100192@gmail.com