Clinical  and Radiographic Findings

The clinical examination at the dentistís office showed an area of severe and localized bone loss in the right posterior maxilla simulating localized periodontitis which lead to the extraction of tooth #2. At extraction, the dentist noticed that the bony consistency was soft and spongy combined with extensive bone loss involving the posterior maxilla and the inferior and posterior portions of the maxillary sinus (Fig 1). The Oral Surgeon also noticed bony expansion in addition to the extensive destruction. The bony destruction at that point was measured to be approximately 3 ¼ x 2 ½ cm in greatest dimensions (Fig 1).

Figure 1. Panoramic view of the presentation in Dec 03 demonstrating destructive radiolucency involving the right posterior second molar tooth, distal bone and the maxillary sinus.