Category: Case of the week

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Case of the Week: Radicular cyst

This week I have an example of a very large radicular cyst (sometimes referred to as a periapical cyst) that was encroaching on the maxillary sinus.  The patient presented with no symptoms during a new patient exam.  A pantomograph was made.  On the pantomograph, a well-defined ovoid radiolucent entity is…
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Case of the Week: Sialolith

This week I have a neat example of a sialolith on a pantomograph.  This was an incidental finding at a new patient exam.  Sialoliths tend to be single, but this case has multiple calcifications within the duct of the submandibular salivary gland.  On the pantomograph there are multiple, irregular shaped…
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Case of the Week: Enamel pearl

This week I am showing a case of an enamel pearl along with the clinical photo of the tooth after it was extracted.  Enamel pearls are an extra ‘blob’ of enamel near the furcation area on molars.   They will present as circular radiopaque areas near the furcation.   They…
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Case of the Week: Tonsiliths

This week is showing a case of calcifications in the tonsillar crypts also known as tonsiliths.  Tonsiliths are incidental findings on pantomographs.  Tonsiliths clinically present as  yellow-white stones in the tonsillar crypts.  They range in size from millimeters to centimeters.  A few studies have linked tonsiliths with halitosis (bad breath). …
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Case of the Week: Ossified stylohyoid ligament

This week will show a common anatomical variant – an ossified stylohyoid ligament.  This can occur unilaterally or bilaterally.  This is an incidental finding.  Many students tend to jump to Eagle’s syndrome as soon as they see an ossified stylohyoid ligament; however for Eagle’s syndrome to be considered the patient…