Clinical  and Radiographic Findings

The hard tissue lesion is present mostly on the facial gingiva of the anterior maxilla. Slight expansion is also present on the palatal gingiva. Non-surgical root canal therapy was performed on teeth #s 9 & 10 in January 2004. The panoramic radiograph (Fig. 2) demonstrates slight divergence of teeth #s 10 & 11 with increased bone density in the same area. CT studies show an irregular sclerotic density extending from the maxillary left incisors to the left 1st premolar. The radiographic borders are ill-defined and irregular. The radiologistís CT interpretation is osteomyelitis.

Figure 2. This is a panoramic radiograph demonstrating slight divergence of teeth #s 10 & 11 with increased bone density.