Oral and Maxillofacial Surgery

Case of the Month


September, 1999


Subjective:

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.

Objective:

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.

Assessment:

  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

Plan:

Results:


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

srt@srt-psc.com

Last Modified: September 1, 1999

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