Case #:8

Case profile:

Patient: 15 year old girl

Case record:

Chief Complaint: Persistent, progressive discomfort in the left jaw of six weeks duration. In the past week, the patient has had limitation of jaw opening and has become aware of swelling on the left side of her face.   Medical History: Alert, normally developed, in no distress. Patient is in the second trimester of pregnancy. Denies cardiovascular, pulmonary, gastrointestinal, genitourinary, allergic disease or abnormality.   Dental History: Except for the chief complaint, routine development and care.   Clinical Findings: Moderate facial asymmetry due to enlargement in the left preauricular-masseter region. Swelling is poorly delineated, firm and tender to palpation with fixation to deep structures but not to overlying skin. Maximum incisal edge opening 25 mm with limitation in lateral excursive movements of the mandible. The left ramus of the mandible demonstrates a diffuse radiopaque lesion. No other abnormalities are identified.

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