ORAL
and maxillofacial pathology
Clinical History
A 53-year-old Hispanic male was referred to the predoctoral urgent care dental clinic at UT Health San Antonio with a chief complaint of, “I have been having some pain in my upper right gums near where I had a tooth extracted.” He reported having #1 extracted 4 months prior to presentation. Since the extraction, the patient experienced discomfort in the surrounding soft tissue. The pain described was continuous but fluctuated in severity. His discomfort at the time of presentation was 1/10, but he reported it had periodically increased to 7/10. He noticed the affected area was enlarged, and the distalmost tooth, #3, was loose.
case of the month AUTHORS Amanda Jean Wilson, BS Third-year dental student, School of Dentistry, UT Health San Antonio, San Antonio, Texas
Anne Cale Jones, DDS Distinguished Teaching Professor, School of Medicine, Department of Pathology and Laboratory Medicine, UT Health San Antonio, San Antonio, Texas
Juliana Robledo, DDS Assistant Professor, School of Medicine, Department of Pathology and Laboratory Medicine, UT Health San Antonio, San Antonio, Texas
Figure 1. Clinical photograph demonstrating slight expansion of the buccal vestibule in the area of #6 and slight expansion of the alveolar ridge distal to #3.
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Texas Dental Journal | Vol 139 | No. 2
