This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.
A 50-year-old female presented for a new-patient exam upon the recommendation of her general practitioner. Her CC: “My doctor said that I have an infection on one of my top right teeth.” She pointed to a raised mass of tissue in between teeth Nos. 4 and 5. She was on a prescription of Keflex given by her MD for this “infection.” Other health considerations: penicillin allergy and a history of type 1 and 2 herpes.
Clinical assessment revealed a pink 6 mm raised firm mass of osseous tissue measuring 12x12 mm. It was not tender to palpation and did not bleed easily when manipulated (figures 1 and 2). Radiographic assessment was within normal limits (figure 3).
What are some of your differential diagnoses and proposed course of treatment?
MORE PATHOLOGY CASES . . . Do you have an interesting oral pathology case you would like to share with Breakthrough’s readers? If so, submit a clinical radiograph or high-resolution photograph, a patient history, diagnosis, and treatment rendered to: [email protected]. We will let you know if we select your case!This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.