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Breakthrough Clinical oral pathology case: No. 22

Jan. 3, 2017
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.
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 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 [email protected] 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.

For more pathology articles, click here.

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!

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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About the Author

Stacey L. Simmons, DDS | Editorial Director of DE's Breakthrough Clinical e-newsletter

Dr. Stacey Simmons grew up in Hamilton, Montana. She did part of her undergraduate work at Purdue University and then received her bachelor’s degree in exercise physiology from the University of Utah. After applying to both medical and dental school, she decided that dentistry was her career of choice. She received her DDS degree from Marquette University School of Dentistry in Milwaukee, Wisconsin, in 2004. In private practice, she focuses her care on prosthodontics and cosmetic dentistry. She is a guest lecturer in the Anatomy and Physiology Department at the University of Montana. Outside the office, she trains for triathlons and spends time with her family. You may contact Dr. Simmons by email at [email protected].

In 2015, Dr. Simmons became the editorial director of DE's Breakthrough Clinical with Stacey Simmons, DDS, an e-newsletter focused on breaking through plateaus in clinical practice. Subscription information may be found here.

Updated May 4, 2016