Chapter 11 Assessment/Interpretation of Pathology of the Jaws
CASE 11-1 Bill is an asymptomatic 47-year-old who presented for routine dental treatment. This radiograph was taken as part of the full mouth survey.
CASE 11-2 Mary is a 67-year-old who was referred to the periodontist. As part of the radiographic examination, this small radiolucent lesion was detected. The teeth were vital.
CASE 11-3 This is a 35-year-old asymptomatic woman who has slight buccal and palatal enlargement of the alveolar bone in this area. Other studies indicated portions of the zygoma were involved. This condition was first detected at age 19 years and is slowly progressive. Her alkaline phosphatase was normal to high-normal, and the serum calcium was normal.
CASE 11-4 This 72-year-old woman presented with loose 20-year-old dentures and slight intermittent pain under the lower denture. She stated she had her teeth extracted because of severe untreated caries and abscessed teeth. The radiolucent lesion was detected on a radiograph of the painful area.
CASE 11-6 This 6-year-old boy presented with intermittent pain in the left posterior mandible. A clinically missing lower left 1st molar was noted, and the other three 1st molars were erupted. No bony expansion was in this area (arrows); however, the tissue at the crest of the ridge was slightly reddish and swollen.
CASE 11-7 This asymptomatic patient is a 45-year-old woman. Her routine radiographs indicated several periapical radiolucencies in the lower anterior region.
CASE 11-8 This patient is missing all of his lower molars bilaterally, and a removable partial denture is being planned.
CASE 11-9 This is a 16-year-old female with a lesion in the left mandible. All of the teeth are vital.
CASE 11-10 Terry is a 12-year-old boy with intermittent pain and swelling in the right posterior mandible.
CASE 11-11 Clara is a 72-year-old who reports pain and slight facial swelling in the right maxilla. Clinically, you could see swelling at the mucobuccal fold between the 1st molar and 2nd premolar. Her history revealed she had a Caldwell-Luc procedure performed on the right maxillary sinus some 20 years ago.
CASE 11-12 George is a 41-year-old with slight discomfort in the area of this 15-year-old bridge. Clinically, the gingiva beneath the pontic was red and swollen.
CASE 11-13 Ollie is 64 years old. He has a removable partial denture with bilateral free end bases, which he has worn for years. Look at the most distal tooth in the lower right quadrant; it was the only tooth affected.
CASE 11-14 Mr. X is a 59-year-old homeless person. He recently had his remaining mandibular teeth extracted for tenderness, redness, swelling, and intraoral and submandibular fistula formation in the right quadrant. However, the pain has not regressed. Now paresthesia has developed in the lower right lip. The radiograph revealed a possible partially healed fracture of the mandible in the right canine region, the cause of which the patient could neither affirm nor deny.
CASE 11-15 Denis is a 13-year-old boy with a slightly swollen face on the right side. Clinically, a non-tender, bony, hard swelling was in the mucobuccal fold adjacent to the 1st molar. There was a history of past toothache, but it went away.
CASE 11-16 Denise is a 27-year-old who complained her “front tooth” seemed to be getting “crooked.” The radiolucency in the right maxilla was a serendipitous finding.
CASE 11-17 This 52-year-old man gave us the okay for a fixed prosthesis to replace the lower left molar. Everybody was surprised to find the radiolucent lesion at the inferior border of the mandible.
CASE 11-18 Mrs. Sally S. is 42 years old. She complained that her overdenture no longer fit well and chewing was painful. Clinically, a reddish, slightly swollen area was at the crest of the edentulous ridge in the right posterior mandible.
CASE 11-19 This patient is a 16-year-old male. He complained of pain on chewing, and his mother noticed the left side of his face seemed a bit swollen. He had never been to the dentist. At surgery, some straw-colored fluid could be aspirated.
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