oral pathology

Oral pathology reference: Cases 15–18

Sept. 19, 2024
These four cases represent pathology you may encounter in your practice—from red, inflamed, ulcerlike lesions on the borders of the tongue to a large radiolucency in the mid-body of the mandible. Use these clinical presentations and diagnoses as a reference tool.
Vicki Cheeseman, Associate Editor

Oral pathology that you see during clinical exams is an excellent way to keep your detection skills sharp. One way to improve your clinical knowledge is to learn from cases your colleagues have seen.

Have you recently encountered a pathology case in your practice that you’d like to share? Email your details to Bethany Montoya, BAS, RDH, the editorial director of Clinical Insights. We look forward to featuring you!

Here are four pathology cases we have on file that you can use as a reference to help determine treatment in your future cases.

Patient: 37-year-old male

  • Badly decayed teeth on the lower right side
  • Apical radiolucency and associated swelling in the buccal vestibule
  • Well-defined radiolucency above the apexes of teeth nos. 5-9
  • Some expansion around the bone
  • Lesion not fluctuant or mobile

Pain on the left, pain on the right

Patient: 50-year-old female

  • Raised tissue mass between teeth nos. 4 and 5
  • Penicillin allergy and history of type 1 and 2 herpes
  • 6 mm pink, raised, firm mass of osseous tissue measuring 12x12 mm
  • Lesion not tender to palpation and does not bleed easily when manipulated

“My doctor said I have an infection on one of my top right teeth”

Patient: 64-year-old female

  • Red, inflamed tissue throughout the oral cavity
  • Large, ulcerlike lesions on the right and left lateral borders of the tongue
  • Well-defined edges with a slightly concave red center that is tender to palpation
  • Vestibular tissue sloughs and hemorrhages easily
  • Angular cheilitis observed

It just takes one medication to delay dental treatment

Patient: 66-year-old male

  • Large radiolucency in the left mid-body of the mandible
  • No oral lesions or vestibular swelling
  • No extraoral visual or palpable swelling in the area
  • No cervical lymphadenopathy

Common things are common


Read more pathology cases …


Editor’s note: This article first appeared in Clinical Insights newsletter, a publication of the Endeavor Business Media Dental Group. Read more articles and subscribe.

About the Author

Vicki Cheeseman | Associate Editor

Vicki Cheeseman is an associate editor in Endeavor Business Media’s Dental Group. She edits for Dental Economics, RDH, DentistryIQ, and Perio-Implant Advisory. She has a BS in mathematics and a minor in computer science. Early on she traded numbers for words and has been happy ever since. Vicki began her career with Dental Economics in 1987 and has been fascinated with how much media production has changed through the years, yet editorial integrity remains the goal. In her spare time, you’ll find her curled up with a book—editor by day, reader always.