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History: 35 year old male with lump underneath tongue. This is a pretty picture of a sialolith, which essentially is a calcified stone in a salivary gland duct. They most commonly form in the submandibular gland duct (Wharton’s duct) due to its long and upward going course. Sialolithiasis presents with pain and swelling of the involved … Continue reading
History: 50 year old man with headache. This is a case of odontogenic sinusitis, which is inflammation in a sinus adjacent to odontogenic infeciton or sinusitis as a result of sinus entry during dental surgery. The differential diagnosis includes sinus disease of other origins such as fungal sinusitis or bacterial superinfection after a viral URI, … Continue reading
History: 50 year old man with jaw pain. This is an example of a tooth abscess, or periapical abscess. The lucency in the maxilla indicated by the yellow arrow is somewhat nonspecific and may be secondary to tooth loosening, however, the adjacent maxillary sinus mucosal thickening argues for the case of an abscess. … Continue reading
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