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Buccal swelling - Courtesy ROOTS
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Authors have been credited for the individual posts where they are - www.rxroots.com |
From: Terry Pannkuk To: ROOTS Sent: Friday, June 18, 2010 6:44 AM Subject: [roots] Puzzle Case: Buccal Swelling This 79 year old male presented with buccal soft swelling of the loose alveolar mucosa opposite the first and second left bicuspids. We was not in pain, no percussion sensitivity with any of the teeth in the area. Class 2 D caries, some pulp chamber calcification (looks like a near exposure). Questionable EPT on all teeth in the area although he thought he felt it at 60 on the first bicuspid. The left mandibular canine was the same, but the mandibular left lateral incisor seemed to feel the EPT at 40. Class 1 mobility both bicuspids with some bleeding upon probing at the MB line angle of the second bicuspid. Mild periodontitis with some generalized 4-5 pockets. Any more questions? Differential Dx? Treatment Plan? - TerryMight be helpful to see the photo of this soft tissue alveolar mucosa swelling after we now saw the hard tissues cbCT. J Any other diseases and any drugs taken for them, if any ? - Valeri I erroneously said left side, but it was right side. I didn’t get a photo of the swelling but it looked like your garden variety buccal swelling that you would expect with a localized acute endo abscess. He had a history of thyroid cancer 40 years ago but has been in remission for decades. He said his wife gives him stuff but he doesn’t know what it is. J He also had a history of prostate treatment but was later found that he didn’t really have prostate disease; he was apparently given radiation for prostate disease that he didn’t’ have. - Terry
