Central Giant Cell Granuloma: A Case Report

examination, a swelling on the right side was revealed on posterior mandibular region, which was firm and painless. The patient had difficulty in speech and chewing, as the cheek was crushed in the interocclusal space on the right side. Clinical examination revealed large swelling, focal, non-tender, with ill-defined margins, non-fluctuant and non-compressible, restricting the mandibular movements. On extra-oral examination, a single, focal, swelling was seen on the right side of the mandible (Figure 1). The swelling measured about 4 cm × 4 cm. The surface of the swelling was smooth and extended from tragus of the ear superiorly and inferiorly to the angle of the mandible. The swelling was firm in consistency, showed no secondary changes and was slightly tender on palpation. Intra orally expansile localized swelling was seen in the third molar region extending posteriorly to the posterior border of mandible in the bucco-lingual direction. Radiographically (i.e., Orthopantomogram (OPG) and postero-anterior view of mandible) (Figures 2 and 3) the lesion was seen as a well-defined, expansile, unilocular radiolucency with varying degrees of expansion of the cortical plates occupying the ramus, angle and coronoid process region. Radiographic appearance of the lesion