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National Journal of Maxillofacial Surgery
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Year : 2013  |  Volume : 4  |  Issue : 1  |  Page : 66-72

Unilocular radiolucencies of anterior mandible in young patients: A 10 year retrospective study

1 Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India
2 Department of Oral Surgery, Al-Khafji General Hospital, Dammam, Saudi Arabia
3 Department of Oral Medicine, Diagnosis and Radiology, Maulana Azad Institute of Dental Sciences, New Delhi, India

Correspondence Address:
Ujjwal Gulati
Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, Maulana Azad Medical College Complex, New Delhi - 110 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0975-5950.117885

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Introduction: Mandibular anterior region is an uncommon site for occurrence of intrabony pathologies. Unilocular presentation of a lesion is again less common than multilocular appearance. Demographically, most lesions occur in middle to elderly age group. The study is designed to review the pathologies manifesting a combination of these rare demographic and radiological criteria. Materials and Methods: A retrospective analysis of patients with anterior unilocular radiolucencies of mandible in young patients was done. Records of past 10 years were searched. There were a total of 17 patients. Their clinical history and radiographs were reviewed from the case files and correlated with histopathological examination of the lesion. Results: Nine different pathologies constituted the sample size of 17. A wide array of lesions was found to manifest similar signs and symptoms and radiographic findings namely ameloblastoma (three), adenomatoid odontogenic tumor (AOT, four), odontogenic keratocyst (OKC, three), ossifying fibroma (OF, two), idiopathic bone cavity (IBC, one), dentigerous cyst (DC, one), radicular cyst (RC, one), central giant cell granuloma (CGCG, one), and calcifying odontogenic cyst (COC, one). Conclusion: Anterior mandible is a rare site for occurrence of intrabony pathologies. Majority of patients are females. Lesions acquire large size before they are detected. Growth occurs more in length than in width. Root resorption is not uncommon and root displacement is almost a consistent feature.

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