Case #6:

Case profile:

Patient: Elderly adult, either sex

Case record:

Chief Complaint: Patient requests a routine examination.   Medical History: The patient had a stroke three years ago and takes Inderal for congestive heart failure. The patient has occasional dyspnea, uses extra pillows when sleeping, and reports edema of the ankles. The patient has smoked five cigarettes per day since high school.   Dental History: The patient has had infrequent dental care. The patient has been edentulous for fifteen to twenty years, has had the current dentures for fifteen years, and wears the dentures 24 hours a day.   Clinical Findings: A diffuse white lesion involves the anterior floor of the mouth. The lesion is flat, nontender, fixed to the surface mucosa but not to the underlying structures. The white areas are rough to palpation and will not rub off. The lesion is asymptomatic. The patient was unaware of the lesion.

Images:

White Lesion in the Floor of the Mouth LG Closer View of Lesion LG