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Oral Path Case Study Paper
Oral Path Case Study Paper
Oral Path Case Study Paper
Brenda Garcia
Suki Misra
October 21, 2018
Oral Pathology Case Study #3
Our oral pathology case study dealt with a 22 year old male patient who came
into the dental office and during a routine examination. He presented with a
slight bony swelling that was located near the mandibular first molar. Radiographs
were performed and it showed a large, round radiopacity. It is well defined and
surrounded by a radiolucent rim and it is showing to obliterate the distal root of
the mandibular 1st molar. When taking vitals and performing an extra oral exam
of the head and neck, there were no palpable lymph nodes, no pain or tenderness
and the patient seemed to be in generally good health. Our patient received
routine checkups as well as some restorative treatment. We had a multitude of
choices to pick through in order to assist us in coming up with our diagnoses for
this patient. They were as follows: complex odontoma, periapical cemental
dysplasia, osteoblastoma, cementoblastoma, and focal sclerosing osteomyelitis.
Here is a summary of those particular pathologies for each one and our reasoning
behind why or why not they are suitable and match our patient’s particular
diagnoses.
Complex Odontoma consists of a mast of enamel and dentin, cementum and pulp
that does not resemble a normal tooth. Most odontomas are detected in
adolescents and young adults. (This made us believe okay, maybe because our
patient is 22 he would fall into this category.) Upon further reading we discovered
that the compound odontoma is usually located in the maxillary anterior and the
complex occurs in the posterior mandible. (which also relates to the patient) but
then the information said that the most common clinical manifestation of this is
the failure of a permanent tooth to erupt and that radiographically it appears as a
cluster of numerous miniature teeth surrounded by a radiolucent halo. This
excerpt of information was what persuaded us to pick another choice.
Well this definitely doesn’t fit the symptoms of our patient because it only deals
with his mandibular 1st molar and not numerous teeth so we decided on yet
another choice.
We attempted to pick the best possible answer, hopefully this paper allows you to
see our thought process and reason of deduction.