Article: Volume 46 Number 7 Page 672 - July/August 2019

Prev    Article P672    Next  Read article

  Dent Update 2019; 46: 672-674

Oral and Maxillofacial Surgery:  Primary B-Cell Lymphoma of the Mandible: a Potentially Difficult Diagnosis

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings


Abstract: There are many causes of a persistent unilateral numbness of the lower lip. A case report of a 34-year-old normally fit and well male, whose symptoms of numbness of the mandibular division of the right trigeminal nerve represented the rare diagnosis of a primary B-cell lymphoma of the mandible, is presented here. The patient’s presentation and management, reasons for the difficulty in ascertaining a definitive diagnosis, as well as invaluable points to be reflected on from this case, are discussed.

Clinical relevance: Numbness should be treated with a high degree of suspicion, with urgent imaging, biopsy and specialist histopathology staining being carried out to exclude malignancy.

Author notes: Hudson King, BDS(Hons), MFDS RCPS(Glasg), Dental Core Trainee Level 2, Liverpool University Dental Hospital (email: and Simon Rogers, BDS, MBChB(Hons), FDS RCS(Eng), FRCS(Eng), FRCS(Max), MD, Consultant Oral and Maxillofacial Surgeon, Aintree University Hospital, Liverpool L9 7AL, UK.

Objective: To describe an unusual clinical presentation of a primary B-cell lymphoma of the mandible and demonstrate the importance of a biopsy in establishing diagnosis.


iTero Webinar – Why should we use iTero for that?


Receive 1 hour free CPD from Dental Update when you register with this webinar

During this webinar Eoin O’Sullivan will take you through his personal journey with digital scanning, explaining how he found himself in a dilemma when he had to replace his first iTero, after he had assumed that the scanner’s capabilities would transition to focus on orthodontics when it was bought out by Align Technology in March 2011. He will share his thoughts about which scanner would best suit his restorative practice, and why he opted for the next generation of iTero over all the other scanners on the market.

 HAVE YOU REGISTERED YET? Don’t miss our FREE webinar on Why should we use iTero for that?

12th December 2019 @ 7pm