Oral and Maxillofacial Surgery

Case of the Month

September, 1999


The patient is a 22 y.o. male who presented to our office with a chief complaint of odontalgia in the left mandibular molar region.


The patient has no allergies. There are no serious illnesses. Incidental panoramic radiographic findings revealed a left mandibular radiolucent lesion with associated impacted tooth # 21 and an over retained left mandibular first primary molar. The radiolucent lesion was well-delineated with calcific flecks. Roots of teeth #'s 20 and 22 were divergent. Tooth # 21 was at the inferior border of the mandible. Teeth #'s 1, 16, 17, and 32 were noted to be impacted. Carious lesions were noted in teeth #'s 2, 14, 15, 19, and 31. Tooth # 30 was missing and was extracted by his general dentist in 1997. Oral examination revealed a Class II malocclusion with anterior-posterior incisor discrepancy and anterior open-bite. Gingival erythema was diffuse. Expansion of the buccal cortical plate was noted, however no bruit or thrill was present. There was no paresthesia of the mental nerve.


  1. Dental Caries
  2. Class II Malocclusion with Apertognathia
  3. Impacted Teeth #'s 1, 16, 17, 21, and 32
  4. Over-retained Tooth # L
  5. Gingivitis
  6. Mandibular Odontogenic Cyst or Tumor



Radiolucent defect.

Expansion of buccal cortical plate.

Exposed cortical plate expansion.

Enucleating lesion.

Tumor with material from lumen.

Osseous defect with intact mental nerve.

Odontogenic Adenomatoid Tumor

Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery

 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-270-926-4107
 fax: 1-270-926-4166
 url: http://www.srt-psc.com


Last Modified: September 1, 1999

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