Floating teeth

Case contributed by Ian Bickle
Diagnosis certain

Presentation

An elderly lady with swelling and pain in the right side of the face.

Patient Data

Age: 80 years
Gender: Female
x-ray

The dentition of the right side of the maxilla is floating.   The alveolar ridge is lucent in keeping with diffuse bony destruction.

Case Discussion

A classic appearance of floating teeth. A fellowship exam favorite as it is a great case to choose for an exam because:

  • a less commonly reported radiograph
  • is good for descriptive purposes
  • tests knowledge as to whether the candidate is aware of the correct terminology
  • has a short, but definite set of differential diagnoses
  • head and neck cases feature less commonly and often a less favored domain for many 

This was due to a late presentation of an advanced squamous cell carcinoma of the maxilla.

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