Dental abscess

Case contributed by Dr Sachintha Hapugoda

Presentation

Progressive left peri-mandibular facial swelling. Mild tenderness to tooth 37. Longstanding dental decay.

Patient Data

Age: 25 years
Gender: Male
X-ray

Large apical lucencies to the roots of 37, the distal root of 36, and the proximal root of 38. Trace areas of surrounding sclerosis are also present. 

Severe dental decay noted. Nose piercing in place.

X-ray

Large apical lucencies to the roots of 37, the distal root of 36, and the proximal root of 38. The areas of surrounding sclerosis can be better appreciated.

Case Discussion

A case of dental abscesses detected on OPG, a useful and quick imaging modality when working up facial swelling with dental pain. These cases are sometimes misdiagnosed as salivary gland infections, particularly when individuals present with peri-mandibular swelling.

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Case information

rID: 57050
Case created: 5th Dec 2017
Last edited: 5th Dec 2017
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Queen Elizabeth II Jubilee Hospital

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