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Quiz Submitted by Dr Maeve Breen A 70-year-old gentleman presents to your general dental practice complaining of increasing mobility and swelling related to his lower incisors over the past two weeks. The patient is known to have metastatic thyroid cancer. Clinical examination reveals a large, firm swelling affecting the buccal mucosa of the lower incisors. The overlying mucosa is non-ulcerated with no discharge noted. 1. 2. 3.
What investigations would you carry out to aid your diagnosis? Describe the lesion seen in the radiograph (pictured)? How would you manage this lesion?
Call for IDA ties! Dr Nairn Wilson is looking for IDA ties for the British Dental Association (BDA) Museum. Dr Wilson is assisting the BDA Museum in creating a dental tie archive, and is specifically looking for ‘club’ ties, 100 years after it is understood that the first dental tie was introduced. To date, the BDA Museum Dental Necktie Archive includes c.200 different dental ties from around the world, including dental school, student society, association, federation,
240 Journal of the Irish Dental Association | Oct/Nov 2021: Vol 67 (5)
4.
The lesion is biopsied and the histology reported as metastatic thyroid carcinoma. What is the most common site in the oral soft tissues for metastases? Answers on page 266
specialist society, sports club, anniversary, conference, and some novelty ties. Regrettably, the Archive does not have any dental ties from Ireland, including an IDA tie. The Archive is providing a valuable insight into the last hundred years of dentistry across the world, and Dr Wilson says that it would be excellent to have a strong Irish presence in the collection, so if you have a dental tie lying unused in a drawer that you would like to donate, please contact nairn.wilson@btinternet.com.
