Introduction: Central giant cell granuloma (CGCG) is a relatively rare and non neoplastic tumor with unclear exact etiology that is reported in children. Cone beam computed tomography (CBCT) technique for precise diagnosis and treatment of the jaw lesions is recommended in the recent years. The object of this case-report study is to use CBCT in the diagnosis and treatment of CGCG.

Case Report: A 6-year-old boy with a painless swallowing at the right side of the lower face had been arisen 3 months before referring to the pediatric department of Mashhad dental school .The lesion had bony hard consistency and smooth surface. For more accurate examination of the region CBCT radiographs were recommended. According to CBCT radiographic sections, expansion of cortical plates and precise extension of the lesion in buccal-lingual and mesial-distal aspects were distinctly observed.

Conclusion: A 12 month follow up after the surgery showed reconstruction and growth of the bone and no sign of recurrence.