Oral Pathology
David M. Casal, DMD (he/him/his)
Pediatric Dental Resident
Rutgers School of Dental Medicine, Newark, NJ
Rutgers School of Dental Medicine
Fords, New Jersey, United States
MaryBeth Giacona, DDS, MPH
Rutgers School of Dental Medicine, Newark, NJ
Newark, New Jersey, United States
Madhu Mohan, DMD
Rutgers Dental School
Newark, New Jersey, United States
This case report involves a 10 year old male patient who presents to the Rutgers School of Dental Medicine with a extraoral swelling and pain on the lower right mandible.
Clinical exam revealed #T and #30 to be dentally healthy. Teeth # R and #S exfoliated a few days prior to the appointment. A Panoramic radiograph was taken to determine the source of the swelling. An Oral Pathologist was consulted and it was recommended that the patient be seen in OMFS for possible incision and drainage.
A CT scan was prescribed and upon radiographic exam, the infected cystic lesion was apical to unerupted #31. The lesion had eroded through buccal and lingual cortical bone in the posterior mandible. With parental consent obtained, Incision and drainage along with surgical extraction of Tooth #31 was done with local anesthesia and nitrous. The extracted tooth (#31) and associated cystic soft tissue was sent for biopsy. Patient continues to be followed at the Rutgers School of Dental Medicine.
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