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Old 04-27-2004, 16:30   #20
Sacamuelas
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Join Date: Jan 2004
Location: Gulf coast
Posts: 1,906
edited to add- Cric I am just trying to help Bro. Your welcome.

back to thread...

Swelling, fluctuant, slight bluish coloration, no tooth in area but in location where max molar would erupt, no pain, can feel hard or pointed object underneath lesion when palpated( clue- that is the tooth that is erupting in underneath the lesion) ...

here is a differential diagnosis to help:
  • eruption cyst - ***
  • hematoma - no trauma hx, would typically be sore to palpation
  • hemangioma- Cric killed the patient if it was this. LOL
  • tooth abscess- very unlikely as I have already discussed
  • amalgam tattoo- no fillings/past extraction to cause it in this Pt. Won't see this unless pt has a dental hx that includes fillings.
  • pigmented nevi - google this if you want, its benign and out of the realm for an 18D's need to know, this case would not be the typical presentation due to swelling and acute/rapid onset
  • malignant melanoma- Well, if it is.. the patient is terminal. VERY unlikely based on the facts of this case. Would be indurated, different coloration, etc...

Well NDD, were you on track?

Last edited by Sacamuelas; 04-27-2004 at 17:29.
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