What is the WHITE SPOT on this X-RAY?? How to Evaluate a RADIOPAQUE Lesion | OMFS | Oral Path

The OPEN REDUcTION Oral Surgery w/Dr. Tom Bolten

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A 45 year old female comes in with an incidental finding on PANORAMIC RADIOGRAPH of a WHITE LESION in her LEFT MANDIBLE. It is ASYMPTOMATIC and she has NO IDEA it is there. What should we do? Is this something we can MONITOR, or does it require TREATMENT? How to WORK UP this RADIOPAQUE lesion today on the OPEN REDUcTION ORAL & MAXILLOFACIAL SURGERY with Dr. TOM BOLTEN. ‪@OpenReductionOralSurgery‬ #oralsurgeon #maxillofacialsurgeon #dentaleducation #dentalstudenteducation #dentalinfluencer #dentist #drbolten #medicaleducation #medicalstudent #pathology #pathologist #oralpathology #radiology

Опубликовано:

21 окт 2023

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Комментарии : 19

@mania.v 9 месяцев назад

Interesting.. Looking forward to the follow-up

@OpenReductionOralSurgery 9 месяцев назад

Thanks, glad you found this interesting! The follow up will be up this weekend. Appreciate you watching!

@richardpapp1340 9 месяцев назад

As a general dentist who has had a focus on surgery for the past decade, LOVE your channel. Solid info and advice without hyperbole. Loved the episode about retrieving root tips in the sinus. Can not count how many associates have freaked out about it over the years :)

@OpenReductionOralSurgery 8 месяцев назад

Thank you very much, I really appreciate the positive feedback from a colleague! More videos to come...

@Sc4lpel Месяц назад

You're amazing, please keep uploading more

@OpenReductionOralSurgery Месяц назад

Thank you, I will

@drebaswing5079 9 месяцев назад

Good question.

@phillipdocmartin 9 месяцев назад

I love your channel!

@OpenReductionOralSurgery 9 месяцев назад

Thank you very much, I appreciate the positive feedback! More videos on the way

@Da34Box 9 месяцев назад

excellent vid, doc! when can we expect part 2?

@OpenReductionOralSurgery 9 месяцев назад

Part two should be up this weekend, I'll let you know after I post it. Thanks for watching!

@Da34Box 9 месяцев назад

@@OpenReductionOralSurgery looking forward to it!

@user-hg3vt7nd9d 6 месяцев назад

I have same white spot on my sinus area… they referred me to specialist for biopsy lesions for further evaluation…. do I have to do any surgery or not …. Does it gonna create any deformation/change in my face ? …

@henripwnq 9 месяцев назад

Why did the dentist not refer the patient after taking the first opg?

@OpenReductionOralSurgery 8 месяцев назад

This is a fair question. I wasn't there so I can't speak to it, but fortunately she eventually was referred and everything went well. Thanks for watching!

@maxadil1406 7 месяцев назад

What if the lesion doesn't grow.with time mean to say if she has not previous radiograph with her then wht should be criteria then for removal

@OpenReductionOralSurgery 7 месяцев назад

Good question! I would have removed this lesion even without the previous radiograph due to the findings on the CT. It is a well defined lesion causing some cortical expansion, which rules out something benign like idiopathic osteosclerosis. The bony changes warrant investigation. These changes are not apparent on the Panorex, which is why a CT is so helpful. Thanks for the question and thanks for watching!