This case report describes the diagnosis and treatment challenges of an accidentally discovered bone lesion in the lower jaw that develops asymptomatically. The X-ray image present an osteolytic heterogeneous single-layer lesion, well sharpened with round borders similar to a group of bone lesions, which include ossifying fibroma, fibrous dysplasia, aneurysmal bone cysts, hemangioma and others. The clinical course and the X-ray finding can make difficult a preliminary diagnosis of the lesion and treatment plan.
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