an unusual lesion on the palatal side of teeth #26 & 27

113 Rating(s).

Posted on 12.14.2020 09:43 AM By Javad Mehrani sabet In Other

A 49 years old patient was referred to my clinic complaining about an asymptomatic lesion on the palatal side of teeth #26 and 27. The patient was systematically healthy and as he mentioned, the duration of the lesion was about one month and the only symptom expressed by the patient was slight bleeding during tooth brushing and flossing the area.The lesion is painless. Patient had a CBCT image of the area.patient has no signs and symptoms of periodontal disease.
1- what para-clinical exams should be performed?
2- If there is a need for biopsy, which type and how should be carried on?

Clinical image of the lesion

CBCT of the intended area

Respond to Case

Add a comment to the discussion on an unusual lesion on the palatal side of teeth #26 & 27

Case has been added to your favorites.

Case has been removed from your favorites.

Thank you for your input. Your comment has been posted.

You are now following this member. You will get notified on any new topics posted by this member.

You are no longer following this member. You will not get notified on any new topics posted by this member.

Edit Comment

Comment has been updated.

8 Comments

Barry Rimmer says on 12.15.2020 09:12 AM

If it has been present for month and no pain I would definitely refer to specialist as would suspect potential for something sinister

Barry Rimmer says on 01.23.2021 10:48 AM

I'm interested -what was outcome?

Javad Mehrani sabet says on 02.27.2021 04:02 AM

hi. as soon as I receive the result, I will inform you about the diagnosis.

Maurice Salama says on 01.25.2021 10:00 AM

Seems like classic slough and granulation tissue fill? Burn? Could be a desquamative lesion as well.

Javad Mehrani sabet says on 02.27.2021 04:02 AM

thanks Dr. Salama

Dr. Avijit says on 02.15.2021 12:27 AM

Pharmacists should be cognizant of common oral lesions and the various medications used for their management. Oral lesions may present as a multitude of different diagnoses, ranging from benign to malignant.

Javad Mehrani sabet says on 02.27.2021 04:02 AM

thanks for your response.

Brack wom says on 06.30.2021 08:27 AM

Thanks all for sharing such a helpful response, keep sharing more knowledgeable content.