20 Jan23 B Cpath45primary

BC oral pathology case no. 45: ‘Nothing extra; I’m only here to get the implant treated’

Jan. 15, 2020
Dr. Scott Froum presents the pathology case of a patient who came to the dental office for treatment of an implant affected by peri-implantitis. When a leukoplakic lesion was discovered during the clinical exam, the patient had a ready answer.

Case history

This is a case of a healthy, 26-year-old female who presented to my office for treatment of an implant affected by moderate peri-implantitis. She had a noncontributory medical history, was taking no medications, and had no stated food or drug allergies. She denied the use of tobacco products, alcohol, vaping, and drugs.

Clinical examination

Upon oral mucosal inspection, a 15 mm x 15 mm leukoplakic lesion was detected on the right lateral border of the patient's tongue (figure 1). The patient stated that she knew about the lesion for the past few months and attributed it to “constantly biting her tongue.”

What are your recommendations and differentials for this patient?

Send your responses to [email protected]. Next month, we will present the final diagnosis and recommended treatment for this oral pathology case. 


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]

Editor's note: This article originally appeared in Breakthrough Clinical, a clinical specialties newsletter from Dental Economics and DentistryIQ. Read more articles at this link.

Scott Froum, DDS, a graduate of the State University of New York, Stony Brook School of Dental Medicine, is a periodontist in private practice at 1110 2nd Avenue, Suite 305, New York City, New York. He is the editorial director of Perio-Implant Advisory and serves on the editorial advisory board of Dental Economics. Dr. Froum, a diplomate of the American Board of Periodontology, is a clinical associate professor at SUNY Stony Brook School of Dental Medicine in the Department of Periodontology. He serves on the board of editorial consultants for the Academy of Osseointegration's Academy News. Contact him through his website at drscottfroum.com or (212) 751-8530.