Forum for Clinical and Surgical Oral Pathology

Case BBOPF 04-3-3

This is the third in a series of five cases submitted by Dr. Jerry Bouquot. Please enter your comments in the form at the bottom of the page. This case was posted from March 26 to April 2, 2004. A summary of the responses will be available in BBOP.

Clinical History

49 year old male with a mild-to-moderate ache and moderate tenderness of the left mandibular third molar region, made worse by exertion. The second molar was being evaluated for extraction because it was intermittently tender to bite on. Technetium 99m MDDP radioisotope scintigraphy scan showed a "hot spot" in the posterior left mandible and in the asymptomatic left maxillary tuberosity region. All pain disappears with local anesthesia to the tuberosity area (positive diagnostic anesthesia test).

Images

Radiography

Histology

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Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (Web Administrator, University at Buffalo School of Dental Medicine).