Article: Volume 45 Number 5 Page 434 - May 2018

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  Dent Update 2018; 45: 434-438

Oral surgery:  Mandibular Radiolucencies - How to Refer and Manage Appropriately

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Abstract: Radiolucencies occurring in the mandible are often incidental findings by general dental practitioners (GDPs), detected via routine radiological examination. For further investigation, most unknown radiolucencies will be referred to a secondary care oral surgery or oral and maxillofacial (OMFS) department. In this report, three patients who were referred to Whipps Cross Hospital for investigation of rare mandibular radiolucencies were examined. These cases are often looked at in dental school, but rarely encountered in practice. Radiographic as well as clinical examinations are discussed, leading to the appropriate management.

Clinical relevance: The aim of this report is to highlight to junior trainees, working in OMFS and Oral Surgery units, the correct and justified investigations and management techniques when faced with such rare cases. It is also hoped that these cases will help to educate referring practitioners in how to refer appropriately and how to ensure such radiolucencies are not overlooked.

Author notes: Manish Jagatiya, BDS, MFDS RCS(Ed), Clinical Fellow in Oral and Maxillofacial Surgery, Nasir Nasser, BDS, MBBS, MRCS(OMFS), Consultant Oral and Maxillofacial Surgeon Whipps Cross University Hospital, Barts Health Trust, Whipps Cross Road, Leytonstone E11 1NR, UK.

Objective: To highlight the correct and justified investigations and management techniques when faced with rare cases in practice so that these are not overlooked. Enhanced CPD DO C