Central giant cell granuloma (Multilocular) .

  • It is rather a reactive in origin and not a neoplastic lesion.
  • The most common location is the body of the mandible.
  • Possible effects on adjacent teeth: displacement, resorption, destruction of lamina dura.
  • Initially the lesion appears as a unilocular radiolucency and as it progresses it turns as multilocular, usually with a honeycomb  appearance.
  • It has an irregular shape and often ill-defined borders.
  • The lesion may become very large causing facial swelling.

Differential Diagnosis

Case 1

Giant cell granuloma

Case 2

Giant cell granuloma in a male 20 years old.