Patient Profile: Patient is a 65-year old male who was referred by his dentist after an incidental finding of a cyst in the right posterior mandible following routine dental radiography as part of a dental check-up. 

Chief Complaint: ” My dentist found a cyst in my back jaw after taking a dental x-ray”

Dental History: Patient is an infrequent attender to the dentist usually presenting when he has pain over the years. 

Medical History: The patient reported hypertension and was medicated on Olmesartan, Atorvastatin and Nu-seal aspirin. His blood pressure was recorded at 143/88 mm/hg and bloods were all within normal limits.

Extraoral Examination:

• Assessment reported all within normal limits.

Supplemental Information:

• There was a significant buccal cortex expansion in the right posterior mandible
• There was no infection.
• There was no neurosensory disturbance. 
• The neurovascular bundle was displaced and not visible. 
• Treatment involved several procedures. Biopsy, Surgical extraction of the LR7 and the buried very lingual LR8 with marsupilisation with final enucleation once the bundle was identified. 
• All interventions were undertaken under local anaesthesia with IV sedation. 
• Annual radiographic follow-up for five years is required as there is a tendancy for recurrence with this type of cyst.