The Journal of the American Dental Association
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J Am Dent Assoc, Vol 121, No 6, 759-760.
© 1990 American Dental Association
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Journal of the American Dental Association, Vol 121, Issue 6, 759-760
Copyright © 1990 by American Dental Association

Case Reports

Asymptomatic periapical radiolucent lesion found in an area of previous trauma



EL Childers, JD Johnson, GR Warnock, and FJ Kratochvil
Department of Oral Pathology, Naval Dental School, Bethesda, Md 20814-5077.

The case of an anterior mandibular radiolucent area, which unexpectedly yielded salivary gland tissue, is described. Salivary gland depressions in the posterior mandible are readily recognized because of their almost pathognomonic radiographic appearance. A salivary gland inclusion in the anterior mandible in the proximity of teeth may create a diagnostic dilemma where superimposed periapical pathosis is present. The clinical importance lies in the recognition and appropriate treatment of the lesion. For the anterior salivary gland inclusion, a biopsy and a microscopic examination provide the most reliable diagnosis.




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