The University of Iowa College of Dentistry and Dental Clinics logoLink to University of Iowa home pageLink to College of Dentistry and Dental Clinics home page

  college of dentistry mission graphic

Oral Pathology:  Soft Tissue Case #29

 

Directions:
To view this case click on the different case tabs below.
As you tab through the case you will see photos.  Click on each photo to see an enlargement.
When you have determined a diagnosis and treatment, select the Discussion tab.

 

Patient: Adult, either sex.

Chief Complaint:
The patient reports swelling of three days duration. The swelling is persistent, painful, and is larger now than when first noted. Brushing the teeth in the area of the lesion exacerbates the pain. Aspirin relieves the pain only slightly. The patient reports a similar problem with a maxillary tooth in the past.

Medical History:
No abnormalities are identified.

Dental History:
The patient has a history of dental problems resulting in tooth extractions.

Clinical Findings:
The lesion is a 5 x 7 mm soft tissue enlargement of the buccal gingiva between teeth #29 and #30. The lesion is fluctuant and painful to palpation. It is fixed to the surface mucosa and the underlying structures. It has a smooth erythematous surface which does not blanch upon pressure. Periodontal probing reveals a 7 mm pocket. A periapical radiograph reveals 5 mm of horizontal alveolar bone loss. The teeth in the area are vital. Probing of the area causes bleeding and the release of a purulent exudate. Right submandibular lymph nodes are tender, compressible, and not fixed to surrounding structures.

Clinical Images
swelling of right mandibular gingiva close-up of swelling
Swelling of Right Mandibular Gingiva Close-up of Swelling

 

There are no radiographs available for this case.

There are no lab reports available for this case.

There are no charts available for this case.

Diagnosis:

Soft Tissue Enlargements
Reactive
Bacterial
Secondary to periodontal abscess