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Article: Volume 46 Number 3 Page 287 - March 2019

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  Dent Update 2019; 46: 287-290

Oral and Maxillofacial Surgery:  The Bigger Picture: a Gorlin-Goltz Case Report

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Abstract: Gorlin-Goltz is a multisystemic inherited disorder characterized by multiple oral and systemic manifestations. Although rare, it is important for the general dentist to be aware of this condition due to the presentation of multiple odontogenic keratocysts, and to understand the differential diagnoses of jaw radiolucencies. This case describes a 53-year-old Afro-Caribbean patient who was referred by his dentist to the Maxillofacial team at Queen’s Hospital regarding a ‘strange sensation’ in the mouth. Upon further investigation it was found that he had Gorlin-Goltz syndrome.

Clinical relevance: This article highlights the importance of looking at ‘the bigger picture’ clinically and radiographically and provides a reminder of the oral manifestations of Gorlin-Goltz syndrome and differential diagnoses of jaw radiolucencies.

Author notes: Zahra Nimaa, BDS(Hons), MJDF RCS, Senior House Officer in Oral and Maxillofacial Surgery, email: zahranimaa@hotmail.co.uk, Sukhpreet Dubb (joint first author), MBBS(Hons), BSc(Hons), MRCS, Senior House Officer in Oral and Maxillofacial Surgery and Valmiki Sharma, BSc(Hons), BDS, FDS RCS, MB BCh, MRCS, FRCS(OMFS), Consultant in Oral and Maxillofacial Surgery, Queen’s Hospital Romford, Rom Valley Way, Romford, Essex, RM7 0AG, UK.

Objective: To highlight the limitations of intra-oral radiography and know when to refer this condition for further investigations.

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