An unusual oral lesion

Volume Number

455

60 4

AN UNUSUAL

in the floor of the mouth (Fig. 1). The lump was related to the lingual flange of her complete lower denture. The patient was referred to the Department of Dental Surgery, where clinical and radiographic examination revealed the presenceof a large calculus of the left submandibular salivary gland which had ulcerated into the oral cavity (Fig. 2). In view of her age and serious cardiac condition, the calculus was removed via an oral approach, with the patient under local anesthesia.

ORAL LESION

A

73-year-old white woman consulted her family physician following the appearance of a “hard lump”

John G. McGimpsey, BSc., M.D.S. The Queen’s University of Belfast School of Dentistry Department of Dental Surgery Grosvenor Road Belfast BT 12 4BP Northern Ireland

Fig. 1

Fig. 2