Content Dam Diq Online Articles 2016 06 16jun2bcsimmons Pathcase16t
Content Dam Diq Online Articles 2016 06 16jun2bcsimmons Pathcase16t
Content Dam Diq Online Articles 2016 06 16jun2bcsimmons Pathcase16t
Content Dam Diq Online Articles 2016 06 16jun2bcsimmons Pathcase16t
Content Dam Diq Online Articles 2016 06 16jun2bcsimmons Pathcase16t

Breakthrough Clinical oral pathology case: No. 16

June 1, 2016
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. Clinical assessment revealed a pink 6 mm raised firm mass of osseous tissue measuring 12 x12 mm. Breakthrough Clinical’s Editorial Director Stacey L. Simmons, DDS, presents this month’s oral pathology case. Read more about the case and view the photos to suggest your differential diagnoses and proposed course of treatment.
Stacey L. Simmons, DDS, Editorial Director of DE's Breakthrough Clinical e-newsletter

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).

Figure 1Figure 2
Figure 3


What are some of your differential diagnoses and proposed course of treatment?

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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.
Stacey L. Simmons, DDS, is in private practice in Hamilton, Montana. She is a graduate of Marquette University School of Dentistry. Dr. Simmons is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. She is the editorial director of PennWell’s clinical dental specialties newsletter, DE’s Breakthrough Clinical with Stacey Simmons, DDS, and a contributing author for DentistryIQ, Perio-Implant Advisory, and Dental Economics. Dr. Simmons can be reached at [email protected].

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