Breakthrough Clinical oral pathology case: No. 26

Dr. R.F. John Holtzen presents the oral pathology case of a 14-year-old male referred for evaluation of his third molars secondary to the appearance on panoramic radiograph; the patient was experiencing discomfort in his left posterior mandible. The medical history was remarkable for two reasons ...

May 2nd, 2017
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Dr. R.F. John Holtzen presents the case of a 14-year-old male referred for evaluation of his third molars secondary to the appearance on panoramic radiograph; the patient was experiencing discomfort in his left posterior mandible. The medical history was remarkable for two reasons ...


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

A 14-year-old male was referred to the oral and maxillofacial surgeon for evaluation of his third molars secondary to the appearance on panoramic radiograph, and the fact that the patient was experiencing some discomfort in his left posterior mandible.

The patient's medical history was remarkable only for significant mentally delayed development and recent excision of a skin lesion from his chest. The lesion had produced a histopathologic diagnosis of basal cell carcinoma.

What diagnosis might the consulting doctor be concerned about, and what would be the appropriate course of treatment?

Send your answers to DEbreakthrough@pennwell.com or join our Facebook group to discuss this oral pathology case and more. Next month we will discuss the final diagnosis and recommended treatment for this case.


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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!

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


For more articles about clinical dentistry, click here.


R.F. John Holtzen, DMD, is a board-certified oral and maxillofacial surgeon with private practices in Missoula, Montana, and Las Vegas, Nevada. He is a graduate of Temple University School of Dentistry, and completed internship and residency programs at Johns Hopkins University, St. John’s Mercy Medical Center, and MCP-Hahnemann University Medical Centers. He is a previous associate clinical professor at the University of Nevada School of Medicine, and has lectured on a variety of topics related to his specialty.


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