Breakthrough Clinical oral pathology case: No. 22

Dr. Stacey Simmons, Breakthrough Clinical’s editorial director, describes the pathology case of a healthy 27-year-old male who presents for a limited exam with the chief complaint that his upper right tooth, third from the back, has been bothering him progressively for the last few months. Read more about the patient’s health history and the problem Dr. Simmons found while examining the tissue.

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

A healthy 27-year-old male presents for a limited exam with the chief complaint that his upper right tooth, third from the back, has been bothering him progressively for the last few months. Health history reveals a slightly elevated blood pressure and that he is a chronic tobacco user (one can per day).

The issue for the tooth was addressed, and an assessment of the tissue followed. A large area of the lower left vestibule was noted to be corrugated and rough upon palpation. Discussion ensued. The patient indicated he was aware of the risks associated with tobacco—a clear pathological segue into oral cancer.

How would you follow up? What would you recommend and advise? The door is wide open … take it away, my friends.

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

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


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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!


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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