Breakthrough Clinical oral pathology case: No. 13

Breakthrough Clinical’s Editorial Director Stacey Simmons, DDS, presents this month’s oral pathology case: A healthy seven-year-old male presents for his new-patient exam. A radiolucency was noted in the No. 7 area on the panoramic radiograph; subsequent occlusals were referred to for a better view where the lesion appeared to focalize around the coronal portion of No. 7. Furthermore, there was an ill-defined radiopacity within the osseous tissue, under the area where primary tooth D would be located.

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This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

A healthy seven-year-old male presents for his new-patient exam. A radiolucency was noted in the No. 7 area on the panoramic radiograph; subsequent occlusals were referred to for a better view where the lesion appeared to focalize around the coronal portion of No. 7. Furthermore, there was an ill-defined radiopacity within the osseous tissue, under the area where primary tooth D would be located. The area was not tender to palpation nor was there any expansion noted in the vestibular area. Mom reported that the patient had trauma to the area a few years back while playing.

What would your next step be, and what would your differentials include for this pathology?

Send your answers to DEbreakthrough@pennwell.com or join our Facebook group to discuss this oral pathology case and more.

ADDITIONAL READING . . .
Breakthrough Clinical oral pathology case: No. 11
Breakthrough Clinical oral pathology case: No. 12
Diagnosis and treatment for Breakthrough Clinical oral pathology case: No. 13

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: DEbreakthrough@pennwell.com. 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.

ALSO BY DR. STACEY SIMMONS |Orthodontic options for the ectopic eruption of a maxillary first molar

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 ssimmonsdds@gmail.com.

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