According to previous report (3,4,5,6), majority of the residual cysts are asymptomatic, occur in the alveolar process and

body of the jaw bones in edentulous areas but may also be found in the lower ramus in patients over the age of twenty years with the average age being 52 years. Males are slight more commonly more affected the females with a ration of 3:2 and maxilla is more commonly involved than the mandible. The reported case here presented as a slowly growing painless swelling involving the Anterior region of the Mandible with a past history of extraction of the mandibular anteriors owing to the discoloration followed by trauma. The presence of cystic consistency (yielding with pressure) drove to aspirate the lision which has yielded a serosanguinous fluid without any evidence of blood and pus. Although a differential diagnosis of traumatic bone cyst could be considered at this stage, the same can be ruled out because the traumatic bone cyst usually occurs in patients under 25 years of age, mandibular premolar and molar regions are frequently involved and aspiration is usually fruitless(7). Radiographically, the residual cyst appears as well defined radiolucency with a distinct sclerotic margin in edentulous area. The sclerotic margin may be fine, and thin and it may be thicker and diffusely sclerotic, especially when residual infection is present. Occasionally, in cases of longstanding lesions and lesions with chronic inflammation, the calcified masses are seen, the appearance of which vary from barely perceptible, fine grains of radiopacities to large, irregular particles that rarely occurred 0.5 cm in diameter (8). The present case also showed the similar radiographic appearance. High et al (9) in a histological and radiographic study of age seen in the residual cysts stated that there is slow same para dystrophic calcification in the Although CEOT: Odontomes are hamartomas composed of calcified structures of the enamel and dentine in amorphous conglomeration (complex odontomes) and in the rudimentary tooth like structures (compound odontomes) with the radiodensity somewhat greater than that of the bone and usually not exceeding the diameter of the teeth in the affected region. Odontomes are usually discovered either incidentally in young adults during routine radiographic examinations and during investigations of a missing and displaced tooth (10). Fractured root tips with secondary infection could be identified by the shape of root along with the presence of root canal and lamina dura. PCOD predominantly involves the periapical region of the mandibular vital anterior teeth with a marked female predilection between the ages of 30 and 50. Moreover its an asymptomatic condition that is discovered in an routine radiographic examinations. When PCOD is observed in edentulous areas the lesions tend to be circular ovoid radiolucency with the central crescent shaped radiopaque mass (12). Focal cement-osseous dysplasia is similar to PCOD, but it occur commonly in the mandibular premolar region appears as a localized small radiolucency with central calcification. It differs from PCOD in that the margins are not so discrete and the tissue is attached to bone at the margins (13).

AOT: The AOT is a slow growing tumor of the odontogenic epithelium commonly seen in the maxillary anterior region associated with an impacted tooth especially canine with female predilection on the radiographs the mixed radiolucent radiopaque stage appears as pericoronal cyst like radiolucency with sharply defined radiopaque foci within the radiolucency (14). The COC is a rare slow growing odontogenic asymptomatic solid and cystic lesion that occurs with equal frequency in the maxilla and mandible and shows no gender predilection. Maxilla incisor-canine region is the most common site of involvement whereas, a considerable number are seen in the molar and premolar region of the mandible. Although the radiographic appearance is of a cystlike radiolucency containing quite distinct radiopaque foci, half of the cases are associated with impacted teeth and root resorption (15).

CEOT: is a rare benign odontogenic neoplasm affecting the middle age with equal gender predilection and mandible is commonly affected than the maxilla. The prevalance in the molar region is 3 times in the bicuspid region. The mixed radiolucent radiopaque stage appears as diffuse and well circumscribed radiolucency along with combined pattern of radiolucency and radiopacity with many small, irregular bony trabeculae traversing the radiolucent area in many directions producing a multilocular honey comb pattern scattered flecks of calcification throughout the radiolucency have given rise to the descriptive team of a driven snow appearance.