The following case report describes the clinical and radiographical presentation of a female who attended a general dental practice as a new patient. The patient was diagnosed with generalised hyper-cementosis, possibly attributable to oral neglect. Hypercementosis is associated with a number of aetiological factors, which may be local or systemic in nature. It is important that the general dental practitioner is aware of these factors and is able to distinguish presentation due to a local cause from that of a systemic disease process. The aims of this paper are to illustrate an unusual presentation of hypercementosis and to discuss the radiographic differentiation that led to diagnosis.
In this article, the risks associated with dental X-ray examinations, the doses from different types of dental x-ray examinations, the principles of radiation protection and the key points set out in the IRR 17 and IRMER 17 legislation, with emphasis on the relevant changes between these new sets of legislation and the preceding IRR 99 and IRMER 2000 legislation, are considered. CPD/Clinical Relevance: An update and overview for the dental team on radiation protection and the relevant legislation.
A 56-year-old male patient presented to an emergency dental service with multiple intraoral swellings. The intra-oral swellings were seen radiographically as punched out radiolucencies in the upper right first molar region and the lower left second molar region.The patient had a complex medical history which included a diagnosis of chronic kidney disease (CKD), tertiary hyperparathyroidism and papillary thyroid cancer. Thyroid metastasis and Brown tumours were therefore considered as the differential diagnosis.The radiographic appearance favoured Brown tumours. The tumour in the upper right quadrant was excised with histology confirming Brown tumours. Surgical parathyroidectomy was subsequently performed. There was no further surgical intervention undertaken following the parathyroidectomy and over time, both intra-oral swellings were found well healed with bony infiltration at both sites.
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