Chapter 11 Assessment/Interpretation of Pathology of the Jaws
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 11-11 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 11-13 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 11-18 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.