Imaging specificities of simple mandibular bone cysts: A three-case report

Simple bone cysts (SBCs) are benign, non-neoplastic bone lesions characterized by a single-cavity osteolysis, often discovered incidentally on panoramic radiographs. This article presents three cases of mandibular SBCs with distinct clinical and radiological features, emphasizing their diagnostic challenges and the role of imaging in differential diagnosis and follow-up. The first case involves a 22-year-old female patient with pulsatile mandibular pain, highlighting the lesion's evolution over 3 years and postsurgical follow-up for 2 years. The second case concerns a 27-year-old patient incidentally diagnosed during prosthetic rehabilitation, underlining the differential diagnosis with periapical cysts and cementoblastomas. The third case describes a 45-year-old patient with a painful left parasymphyseal swelling, highlighting the importance of clinical and radiological correlation. These cases illustrate the variability in SBC presentation and the necessity of imaging for accurate diagnosis and long-term management.