Article: Volume 44 Number 2 Page 163 - February 2017

  Dent Update 2017; 44: 163-163  Read article

Clinical Challenges Q&A:  Clinical Challenges Q&A 28. Erythematous Gingivae Around the Crown of a Wisdom Tooth

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Abstract: An 18-year-old woman presented with severe pain from her lower right molar area for 5 days. Extra-oral examination showed her to be afebrile with a mild, tender, erythematous swelling of her face at the right angle of the mandible associated with trismus and ipsilateral regional lymphadenopathy. Intra-orally, a diffuse swelling of the gingivae above her right mandibular third molar was found, centrally ulcerated and covered with whitish pseudo-membrane (Figure 1) with haemorrhagic pus exuding on palpation. No other lesions were seen in her mouth. She had good oral hygiene with no serious medical problems but smoked a packet of cigarettes daily and drank alcohol occasionally.

Author notes: Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece and Crispian Scully, CBE, DSc, DChD, DMed (HC), Dhc (multi), MD, PhD, PhD (HC), FMedSci, MDS, MRCS, BSc, FDSRCS, FDSRCPS, FFDRCSI, FDSRCSEd, FRCPath, FHEA, Emeritus Professor, University College London, UK.