DRS. LAUREN A. RUDDOCKS*, NEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM
Oral Pathology Biopsy Service at University of Florida College of Dentistry in Gainesville. The microscopic features included atypical cartilaginous material, bone and cells resembling osteoblasts (Fig. 4).
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A 40-year-old male presented to oral and maxillofacial surgeon Dr. Stephanie Reeder Henley in Jacksonville. His Visit floridadental.org/online-ce for this FREE, MEMBERS-ONLY BENEFIT. You will be given the Question: chief complaint was a two-week history of swelling affectopportunity review “Diagnostic Discussion” and its above accompanying photos. Answer five ing his lower jaw,to with minimalthe associated pain. Tooth Based on the history, clinical photograph and imaging No. 30 had choice been extracted six months Clinimultiple questions topreviously. earn one hour of CE.findings, what is the most likely diagnosis? cal examination revealed a firm expansion of the right A. Fibrous dysplasia mandible with mobility of teeth Nos. 29 and 31 (Fig. 1). No contents were retrieved upon aspiration of the swellB. Osteoblastoma ing. A panoramic radiograph revealed an ill-defined mixed C. Ossifying fibroma radiolucent-radiopaque lesion with extension superiorly into the soft tissues and causing inferior displacement D. Osteomyelitis Contact FDC Marketing Coordinator Brooke Martin of the inferior alveolar canal (Fig. 2). Buccal and lingual at bmartin@floridadental.org or 800.877.9922. E. Osteosarcoma cortical destruction as well as irregular deposition of bone on the buccal and superior surfaces of the mandibular body is seen on CT imaging (Fig. 3). Dr. Reeder Henley performed an incisional biopsy that was submitted to the
Fig. 2: Ill-defined mixed density lesion in the area of missing tooth No. 30, causing inferior displacement of the inferior alveolar canal. Fig. 1: Swelling of the right mandible.
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