Clinical Findings

Clinical examination revealed severe localized soft tissue and bone destruction in form of severe localized periodontitis affecting teeth #s 29-30 which had three plus mobility.  The gingiva was purplish and showed significant recession (Figure 1).  The panoramic radiograph (Figure 2) revealed teeth “floating” in space with extensive bone resorption.  All three teeth were extracted and the soft tissue submitted for microscopic evaluation.

Figure 1 Photograph taken at first clinical presentation.  Note the severe periodontitis with gingival recession involving teeth #s 29-31

 

Figure 2 Panoramic radiograph taken at first clinical presentation.  Note the sharply demarcated lytic lesion of teeth #s 29-31 giving the impression of teeth “floating” in space..