Department of Oral Pathology

OPTH 631 - ORAL & MAXILLOFACIAL PATHOLOGY

Case #1:

34 year old woman presented with: A 2.0 cm red dome-shaped mass on the facial gingiva between #28 & #29.

A reasonable clinical differential Dx:

• Peripheral ossifying fibroma (this is what it was)
• Pyogenic granuloma
• Peripheral giant cell granuloma

Case #2:

11 year old boy with: A 5.0 x 3.0 cm swelling of the left submandibular area; the overlying skin is normal colored.

A reasonable clinical differential Dx:

• Lymphadenopathy (this was cat scratch disease)
• Abscess due to odontogenic infection
• Plunging ranul

This case is c/o Dr. Achterberg

Case #3:

22 year old man with: A 1.5 cm diameter well-circumscribed radiopacity involving the roots of # 18 and causing root resorption.

A reasonable radiographic differential Dx:

• Cementoblastoma (of course this is what it was)
• Ossifying fibroma
• Focal cementoosseous dysplasia

Case #4:

This 50 year old woman has: Prominent generalized dusky swelling of the entire lower lip and chin area.

A reasonable clinical differential Dx:

• Angioedema
• Cheilitis granulomatosum (this is what it was)
• Reaction to silicone injections in the are

This case is c/o Dr. Brad Neville

Case #5:

This 48 year old black woman presented with: Multiple radioopaque areas circumscribed with radiolucency in the periapical areas of the mandibular anterior teeth.

A reasonable radiographic differential Dx:

• Periapical cementoosseous dysplasia
• Osteomyelitis
• Paget's disease

Case #6:

This 76 year old man has: White pebbly attached and free gingiva involving the facial and lingual marginal gingiva of the right mandibular teeth.

A reasonable clinical differential Dx:

• Verrucous carcinoma
• Benign hyperkeratosis (this was the microscopic feature)
• Contact reaction to substance such as cinnamon

This case was c/o Dr. Richard White

Last updated October 31, 2000 by Tom Maier. Please send comments, questions, and reports of problems to maiert@ohsu.edu