Breakthrough Clinical oral pathology case: No. 33

A 77-year-old female presents for a new-patient exam. Clinical assessment reveals two irregularly shaped radiopaque masses on the right posterior angle of the mandible. Click here for details about the health history and clinical exam for this month's oral pathology case.

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A 77-year-old female presents for a new-patient exam. Clinical assessment reveals two irregularly shaped radiopaque masses on the right posterior angle of the mandible.

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Editor's note: This article first appeared in DE's Breakthrough Clinical with Stacey Simmons, DDS. Find out more about the clinical specialties newsletter created just for dentists, and subscribe here.



Presentation and chief complaint

A 77-year-old female presents to the office for a new-patient exam. Her chief complaint was that she was due for a cleaning and check-up.

Health history

Health history included cholesterol and blood thinner medications, type 2 diabetes, history of chronic obstructive pulmonary disease (COPD), high blood pressure, and sensitivity to penicillin.

Clinical exam

Assessment of the panoramic radiograph revealed two corrugated, irregularly shaped radiopaque masses on the right posterior angle of the mandible, each measuring approximately one inch in length. The area was not tender to palpation, and the patient had no knowledge that the lesions were there.

What are your differentials and subsequent recommended treatment modalities? Send your answers to DEbreakthrough@pennwell.com. Next month, we will present the final diagnosis and recommended treatment for this case.

CALL FOR 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 DEbreakthrough@pennwell.com.


Editor's note: This article first appeared in DE's Breakthrough Clinical with Stacey Simmons, DDS. Find out more about the clinical specialties newsletter created just for dentists, and subscribe here.


To read more oral pathology cases, click here.


Staceylsimmonsdds 124x124Stacey 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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