A 34yo Caucasian male presented for evaluation and possible treatment of sensitivity to palpation at the buccal aspect of the left mandible. The patient denied swelling, fever or trismus.
Left side of mandible: Lesion can be palpated on the buccal surface between mandibular left first and second molars, at the level of the middle third of the root. Lesion is slightly elevated and is tender under pressure. Pulp tests were within normal limits. The patient medical history was non-contributory.
Location: mandibular left posterior buccal alveolus, between mandibular left first and second molars
Radiodensity: high intensity
Size: approximately 2-3 mm long, 1 mm diameter
Borders: well -defined, highly corticated
Effect on surrounding structures: none
Impression and Recommendations
Features consistent with an homoplastic osteoma; patient advised to refrain from manipulation and return for excision if symptoms persist.
Attending Endodontist: Anastasia Mischenko, DDS, MS
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How to Attribute: Case courtesy Dr Anastasia Mischenko, Bethesda-Chevy Chase Root Canal Specialists