Case #18 (Questions 65- 66) Age: 63 Sex: male Race: Caucasia…
Case #18 (Questions 65- 66) Age: 63 Sex: male Race: Caucasian Medical History: Client was treated with radiation to the head and neck for thyroid cancer last year. He is currently in remission. Dental History: Approximately six months after undergoing radiation treatment, he developed this lesion. It slowly grew larger and became more painful. Periodontal status was a case type I prior to radiation treatment. Chief Complaint: Client notices extreme pain from the lower right of his jaw. He sees something white in his mouth, but it never seems to come off. It bothers him to eat and brush since any stimulus to the area is not pleasant. Clinical Appearance: Lack of gingival tissue around the lingual aspect of tooth #30. The underlying bone is exposed. Picture18.jpg 66. Why is the lesion so painful?