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Submandibular calculus
Volume Number
BITING
Roentgeno-oddities 347
61) :
THE BULLET
A
6-year-old white girl was brought to the dental clinic of Buffalo Children’s Hospital with the report of a foreign body lodged in an upper tooth. A quick examination in the waiting room revealed occlusal amalgam fillings in the first deciduous molars but no apparent foreign body. The history revealed that on the previous day the child was watching her father load shotgun shells. She bit on a lead shot with her posterior deciduous’ teeth and claimed that the shot became lodged in one of them. A radiograph showed the round shape of the shot in a maxillary deciduous first molar. Upon further dental examination, it was clear that the shot had become embedded in a preparation where the amalgam had been lost. Over the course of the 28 hours between the incident and the examination, the soft lead had become burnished at the margins of the preparation and visually resembled an occlusal amalgam filling.
SUBMANDIBULAR
A
CALCULUS
70-year-old black man complained of recurrent swelling and pain in the left retromolar area. These symptoms had been present for the past year. Clinical examination revealed a large, nonmobile, firm swelling lingual to the left ramus, extending into the floor of the mouth. A panoramic radiograph showed a well-defined radiopacity of uniform density in the ramus area, extending below the lower border of the mandible. Following uneventful surgical removal of the mass, it was determined that the object was a
The shot was removed, the tooth was reprepared, and an amalgam restoration was placed. C. William Snyder, D.D.S., Ph.D. Michael Conley, D. D.S. Children’s Hospital of Buflalo SUNY at Buflalo-Dental School Buffalo, N Y 14222
submandibular calculus which measured 2 X 2.7 x 5 cm. The left submandibular gland was also removed and showed fibrous components and chronic inflammation. Patrick K. Hardman, D.D.S., M.S. Denise K. Kassebaum, D.D.S. Arvon E. Rueger, D.D.S. University of Missouri-Kansas City School of Dentistry 650 East 25th St. Kansas City, MO. 64108
BITING
Roentgeno-oddities 347
61) :
THE BULLET
A
6-year-old white girl was brought to the dental clinic of Buffalo Children’s Hospital with the report of a foreign body lodged in an upper tooth. A quick examination in the waiting room revealed occlusal amalgam fillings in the first deciduous molars but no apparent foreign body. The history revealed that on the previous day the child was watching her father load shotgun shells. She bit on a lead shot with her posterior deciduous’ teeth and claimed that the shot became lodged in one of them. A radiograph showed the round shape of the shot in a maxillary deciduous first molar. Upon further dental examination, it was clear that the shot had become embedded in a preparation where the amalgam had been lost. Over the course of the 28 hours between the incident and the examination, the soft lead had become burnished at the margins of the preparation and visually resembled an occlusal amalgam filling.
SUBMANDIBULAR
A
CALCULUS
70-year-old black man complained of recurrent swelling and pain in the left retromolar area. These symptoms had been present for the past year. Clinical examination revealed a large, nonmobile, firm swelling lingual to the left ramus, extending into the floor of the mouth. A panoramic radiograph showed a well-defined radiopacity of uniform density in the ramus area, extending below the lower border of the mandible. Following uneventful surgical removal of the mass, it was determined that the object was a
The shot was removed, the tooth was reprepared, and an amalgam restoration was placed. C. William Snyder, D.D.S., Ph.D. Michael Conley, D. D.S. Children’s Hospital of Buflalo SUNY at Buflalo-Dental School Buffalo, N Y 14222
submandibular calculus which measured 2 X 2.7 x 5 cm. The left submandibular gland was also removed and showed fibrous components and chronic inflammation. Patrick K. Hardman, D.D.S., M.S. Denise K. Kassebaum, D.D.S. Arvon E. Rueger, D.D.S. University of Missouri-Kansas City School of Dentistry 650 East 25th St. Kansas City, MO. 64108