ORAL
and maxillofacial pathology
Case History A 40-year-old former smoker, who is otherwise healthy, presented at the dental clinic due to poorly localized pain in the left maxilla. He also complained of an acute shooting pain in his left cheek, radiating to his eye and temple (ipsilateral), with associated sudden dental mobility in the upper left quadrant, of 2 months’ duration. Clinical findings were unremarkable. There was no palpable lymphadenopathy extraorally, and no obvious mass or ulceration was detected intraorally (Figures 1A and 1B). However, there was evidence of moderate periodontal disease and a CT scan revealed the presence of advanced bone loss of his left maxilla around teeth #12-#15, which was accompanied by pain and paresthesia. The osseous resorption was extensive, extending to involve the left anterior
10
case of the month
1A
1B
Figures 1A and 1B. Clinical pictures showing unremarkable oral cavity.
Texas Dental Journal | Vol 139 | No. 1
