History of the present illness

The patient is a 68-year-old male who was referred to the oral surgeon with persistent swelling at the extraction site of tooth #30 (Figure 1). The extraction site had failed to heal fully for almost four months. The panoramic radiograph showed an ill-defined radiopaque/radiolucent lesion involving the area of teeth #s 28-31 (Figure 2). Tooth #31 was vital with 3+ mobility, and teeth #28-29 were vital with no evidence of mobility.

Figure 1 This is a clinical photograph at first visit to the Oral & Maxillofacial Surgeon demonstrating buccal swelling involving the vestibule in the right posterior mandible.

Figure 2 This is the panoramic radiograph taken at first visit to the oral & Maxillofacial Surgeon demonstrating diffuse radiopaque lesion interspersed with some radiolucency.