John Holtzen, DMD, presents the oral pathology case of a patient who was referred to him for evaluation of a radiodense area that had been discovered inadvertently on a panoramic radiograph. A year-old male was referred to the oral and maxillofacial surgeon to evaluate a radiodense area discovered as an incidental finding on a panoramic radiograph figure 1. The patient is a healthy, active individual with a medical history remarkable only for well-controlled hypertension and mild gastroesophageal reflux. His medications include lisinopril and omeprazole, and he has no known drug allergies. The area noted on the panoramic film appeared as multiple well-defined radiodense objects inferior to the condyle and anterior to the right condylar neck. The popping eventually subsided and was replaced with crepitance and less frequent, but still occasional, discomfort. The patient denied any limitation of movement as well as a history of open or closed lock.
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