A case of a calculus-like calcified body on the buccal region that proved difficult to diagnose

We report a case of calculus-like calcified body on the buccal region. The patient was 68-year-old man. He referred to our hospital for further examination due opaque images found in front left mandibular branch panoramic radiography. Findings from first visit confirmed hard mass with diameter 10 mm under mucosa. There were no subjective symptoms, and saliva outflow parotid papilla good. CT findings showed high-density structure (1300 HU) about 11 × 9 size. It circular clearly demarcated outer side mandible, masseter muscle anterior margin. lesion located slightly below duct, there apparent continuity duct. Extirpation performed through an intraoral approach general anesthesia. contact between excised substance 13 size covered thin capsule connective tissue. Histopathologically, comprised material concentric laminated plate structure, while surrounding fibrous tissue plasma exudate bleeding. No conduit found. final diagnosis heterotopic calcification. postoperative course uneventful.