Dentaltown September 2016 - 36
pathology
message board
Mandible Radiolucency Routine Pano
A routine pano unveils a deeper problem for this 60-year-old patient.
Dentaltown.com > Message Boards > Oral Pathology, Pharmacology, and Cariology > Oral Pathology > Mandible Radiolucency Routine Pano
312inchmagnum
Member Since: 09/17/13
Post: 1 of 37
Introduction:
Sweet 60-year-old lady in for routine hygiene today. Took bitewing and a pano. Saw a suspicious
area, took a CBCT. Here's what we find.
Related Message Boards
Multilocular Radiolucency
LR Mandible
Conclusion:
She has never noticed any pain, tenderness, sensitivity on #18-21 with eating, chewing,
drinking, etc. I tapped on the teeth and they were a little tender. She said "they felt kind of numb
when you did that." Definitely doesn't look good to me. Off to my local OMS buddy. What's
your differential? ■
LR Mandible
What is This Radiographic
Radiolucency?
Radiographic Radiolucency
2/3/2015
Raj D
Member Since: 06/03/03
Post: 2 of 37
*
*
*
Traumatic bone cyst
OKC
Ameloblastoma ■
2/3/2015
jreznick
Member Since: 08/17/03
Post: 3 of 37
Those are the big three. You can also add arteriovenous malformation. The lack of paresthesia
supports idiopathic bone defect (traumatic bone cyst). I would expect some spontaneous numbness
or tingling with a lesion that size pressing on the IAN.
The first step is to puncture the buccal cortex with a 701 bur to see if it is vascular. If not,
aspirate, then biopsy. ■
2/3/2015
dmilesrad
Member Since: 05/30/14
Post: 5 of 37
Differential shared is spot on. Aneurysmal bone cyst as well ... TBC can mimic anything.
My bet is with OKC and unicystic ameloblastoma (hope not) ... aspirational bx. First ...and
auscultation if possible. ■
2/3/2015
Raj D
Member Since: 06/03/03
Post: 7 of 37
I will let the experts to chime in. From what I recall ameloblastoma requires aggressive
treatment ... resection.
OKC-Enucleation/curettage
TBC-I have no idea. ■
2/3/2015
Continued on p. 38
36
SEPTEMBER 2016 // dentaltown.com
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Table of Contents for the Digital Edition of Dentaltown September 2016
On Dentaltown.com
Howard Speaks: Customer Returns—The Good Kind
Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Continuing Education Update
New Products
Monthly Poll: Equipment
Implant into Root Tip?
Mandible Radiolucency Routine Pano
Handoffs
Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Understanding Fracture Toughness
The Right Stuff: Your checklist for adopting new software technology
Electronic Health Records: Is it time to make the transition?
Permanent Help for Temporary Employees: The right practice management software can make all the difference
A Complex Restorative Case
Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Scoring the Perfect Patient Handoff
The Road to Greatness
Industry News
Product Profile: ClearCorrect
The Five Risk Factors of Improper Ergonomics
CE: Laser Mucocele Removal in Pediatric Patients
Dentally Incorrect
Dentaltown September 2016 - Intro
Dentaltown September 2016 - Cover1
Dentaltown September 2016 - Cover2
Dentaltown September 2016 - 1
Dentaltown September 2016 - 2
Dentaltown September 2016 - 3
Dentaltown September 2016 - 4
Dentaltown September 2016 - 5
Dentaltown September 2016 - 6
Dentaltown September 2016 - 7
Dentaltown September 2016 - On Dentaltown.com
Dentaltown September 2016 - 9
Dentaltown September 2016 - Howard Speaks: Customer Returns—The Good Kind
Dentaltown September 2016 - 11
Dentaltown September 2016 - 12
Dentaltown September 2016 - 13
Dentaltown September 2016 - Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Dentaltown September 2016 - 15
Dentaltown September 2016 - 16
Dentaltown September 2016 - 17
Dentaltown September 2016 - Continuing Education Update
Dentaltown September 2016 - 19
Dentaltown September 2016 - 20
Dentaltown September 2016 - 21
Dentaltown September 2016 - New Products
Dentaltown September 2016 - 23
Dentaltown September 2016 - Monthly Poll: Equipment
Dentaltown September 2016 - 25
Dentaltown September 2016 - 26
Dentaltown September 2016 - 27
Dentaltown September 2016 - Implant into Root Tip?
Dentaltown September 2016 - 29
Dentaltown September 2016 - 30
Dentaltown September 2016 - 31
Dentaltown September 2016 - 32
Dentaltown September 2016 - 33
Dentaltown September 2016 - 34
Dentaltown September 2016 - 35
Dentaltown September 2016 - Mandible Radiolucency Routine Pano
Dentaltown September 2016 - 37
Dentaltown September 2016 - 38
Dentaltown September 2016 - 39
Dentaltown September 2016 - 40
Dentaltown September 2016 - 41
Dentaltown September 2016 - Handoffs
Dentaltown September 2016 - 43
Dentaltown September 2016 - 44
Dentaltown September 2016 - 45
Dentaltown September 2016 - 46
Dentaltown September 2016 - 47
Dentaltown September 2016 - Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Dentaltown September 2016 - 49
Dentaltown September 2016 - Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Dentaltown September 2016 - 51
Dentaltown September 2016 - 52
Dentaltown September 2016 - 53
Dentaltown September 2016 - Understanding Fracture Toughness
Dentaltown September 2016 - 55
Dentaltown September 2016 - The Right Stuff: Your checklist for adopting new software technology
Dentaltown September 2016 - 57
Dentaltown September 2016 - 58
Dentaltown September 2016 - 59
Dentaltown September 2016 - 60
Dentaltown September 2016 - 61
Dentaltown September 2016 - Electronic Health Records: Is it time to make the transition?
Dentaltown September 2016 - 63
Dentaltown September 2016 - 64
Dentaltown September 2016 - 65
Dentaltown September 2016 - Permanent Help for Temporary Employees: The right practice management software can make all the difference
Dentaltown September 2016 - 67
Dentaltown September 2016 - A Complex Restorative Case
Dentaltown September 2016 - 69
Dentaltown September 2016 - 70
Dentaltown September 2016 - 71
Dentaltown September 2016 - 72
Dentaltown September 2016 - 73
Dentaltown September 2016 - 74
Dentaltown September 2016 - 75
Dentaltown September 2016 - Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Dentaltown September 2016 - 77
Dentaltown September 2016 - 78
Dentaltown September 2016 - 79
Dentaltown September 2016 - 80
Dentaltown September 2016 - 81
Dentaltown September 2016 - 82
Dentaltown September 2016 - 83
Dentaltown September 2016 - Scoring the Perfect Patient Handoff
Dentaltown September 2016 - 85
Dentaltown September 2016 - 86
Dentaltown September 2016 - 87
Dentaltown September 2016 - 88
Dentaltown September 2016 - 89
Dentaltown September 2016 - The Road to Greatness
Dentaltown September 2016 - 91
Dentaltown September 2016 - 92
Dentaltown September 2016 - Industry News
Dentaltown September 2016 - Product Profile: ClearCorrect
Dentaltown September 2016 - 95
Dentaltown September 2016 - 96
Dentaltown September 2016 - 97
Dentaltown September 2016 - The Five Risk Factors of Improper Ergonomics
Dentaltown September 2016 - 99
Dentaltown September 2016 - 100
Dentaltown September 2016 - 101
Dentaltown September 2016 - 102
Dentaltown September 2016 - 103
Dentaltown September 2016 - CE: Laser Mucocele Removal in Pediatric Patients
Dentaltown September 2016 - 105
Dentaltown September 2016 - 106
Dentaltown September 2016 - 107
Dentaltown September 2016 - 108
Dentaltown September 2016 - 109
Dentaltown September 2016 - 110
Dentaltown September 2016 - 111
Dentaltown September 2016 - Dentally Incorrect
Dentaltown September 2016 - Cover3
Dentaltown September 2016 - Cover4
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