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Anne Cale Jones

H. Stan McGuff

Michaell A. Huber

A 79-year-old male presents with painful mouth sores under his lower denture.  After you have finished reviewing the available diagnostic information, make the diagnosis.

Painful Ulcerations 9 Months After Immediate Denture Placement

A 38-year-old male with an incidental bump noted on the lingual gingiva. After you have finished reviewing the available diagnostic information, make the diagnosis.

Incidental Bump on Lingual Gingiva

Cynthia L Kleinegger

This case challenge presents a patient with erythematous palatal mucosa.

Persistent Oral Tenderness

Brad W. Neville

Tariq Javed

This case challenge presents a patient with a gingival mass arising from the buccal interdental papilla between teeth #19 and #20.

The Case of the Hemorrhagic Gingival Mass

Mark E. Jensen

This case challenge presents a patient with a bone lesion that appeared following the extraction of a mandibular molar.

The Case of the Post-Extraction Bone Lesion

Karl-Ake Omnell

Madeleine Rohlin

This case challenge presents a patient with complications associated with the removal of a maxillary first molar.  This image is one of two periapical radiographs taken at the patient's post-surgical visit to the Department of Oral Radiology at the University of Lund, Sweden.

The Case of the Missing Root Tip

This case challenge presents a patient with a problem that has been unresolved for 18 years.

Chronic Inflammation on the Right Side of the Maxilla

Antonio J. Moretti

Catherine M Flaitz

Gina T Bonaventura

This case challenge presents a partially edentulous occlusion with a well-demarcated gingival enlargement on the right anterior gingiva.

Firm Gingival Enlargement of the Anterior Maxilla

Dolphine Oda

This case challenge deals with a pathological condition of a newborn child.

Pathological Condition of a Newborn Child

A 55-year-old male presents stating, "I have a bump in my mouth that is getting bigger." After you have finished reviewing the available diagnostic information, make the diagnosis.

Enlarging Lobulated Nodule on Cheek

A 82-year-female presents for a routine check-up and evaluation of her oral lichen planus. After you have finished reviewing the available diagnostic information, make the diagnosis.

Incidental Keratosis with Ulceration Noted in Patient with Oral Lichen Planus

Carmen is a 53-year-old female who presents with an asymptomatic alveolar swelling and a history of a recent extraction. After you have finished reviewing the available diagnostic information, make the diagnosis.

Asymptomatic Alveolar Swelling After a Tooth Extraction

A 68-year-old Hispanic female presents with numerous intraoral ulcerations involving the lower labial mucosa, right and left lateral tongue, and ventral tongue. After you have finished reviewing the available diagnostic information, make the diagnosis.

Multiple Intraoral Ulcerations

A 13-year-old female presents with asymptomatic bumps on the left posterior aspect of her tongue.  After you have finished reviewing the available diagnostic information, make the diagnosis.

Asymptomatic Bumps Left Posterior Tongue

Len is 54-year-old white male who presents with painful mouth ulcers. After you have finished reviewing the available diagnostic information, make the diagnosis.

Acute Onset Painful Oral Ulcerations

A 64-year-old male presents with increasing pain involving the left soft palate and irritation in the left eye. After you have finished reviewing the available diagnostic information, make the diagnosis.

Painful Ulceration on Soft Palate

A 14-year-old male presents with a painful swelling in the right lateral neck. After you have finished reviewing the available diagnostic information, make the diagnosis.

Swelling in the Right Lateral Neck

A 28-year-old male presents with an asymptomatic papule in the right floor of the mouth. After you have finished reviewing the available diagnostic information, make the diagnosis.

Papule in the Right Floor of the Mouth

An asymptomatic 49-year old male presents with an enlarging radiolucency. After you have finished reviewing the available diagnostic information, make the diagnosis.

Enlarging Radiolucency of the Right Posterior Maxilla

A 54-year-old Hispanic female who recently immigrated to the United States from Honduras has bumps on her lips. After you have finished reviewing the available diagnostic information, make the diagnosis.

Multiple Bumps on Lips and Tongue

A 43-year-old African American female presents with a periapical lesion involving a mandibular incisor tooth.   After you have finished reviewing the available diagnostic information, make the diagnosis.

Periapical Lesion Involving a Mandibular Incisor Tooth

Mary is a 43-year-old-female who presents for evaluation of a bluish mass on her left anterior lateral tongue.  After you have finished reviewing the available diagnostic information, make the diagnosis.

Bluish Mass on the Tongue

Amy is a 9-year-old-female who was referred by her pediatrician for evaluation of asymptomatic white lesions on her buccal mucosa. After you have finished reviewing the available diagnostic information, make the diagnosis.

White Plaques on the Cheeks

A 36-year-old female presents with an asymptomatic “bump” on the right side of the hard palate. After you have finished reviewing the available diagnostic information, make the diagnosis.

Asymptomatic “Bump” on Right Side of Hard Palate

Parish P. Sedghizadeh

Carl M Allen

A healthy 48-year old white woman presented with a chief complaint of an ‘irritated’ sensation involving her tongue. The problem seemed to be limited to her left lateral tongue and had been noticed for at least six months by the patient. She also indicated the condition varied in severity. After you have finished reviewing the available diagnostic information, make the diagnosis.

White Plaque of the Lateral Tongue

Christine Chu

Michael Hatton

A 71-year old Caucasian male presented to the Dental Clinic at the University at Buffalo’s School of Dental Medicine, New York, USA, for routine dental care. Upon oral examination, an asymptomatic yellow papule with a broad base and superficial vasculature is seen in the left ventral side of the tongue. The lesion demonstrated a soft consistency upon palpation. The overlying lingual mucosa was unremarkable. The patient was not aware of the presence of this lesion.

Yellow Papule on the Ventral Tongue

Angela C. Chi

Michele C. Ravenel

This 61-year old Caucasian male presented with a chief complaint of sensitivity of the left buccal mucosa for approximately eight to nine months. The patient noted discomfort when eating spicy or acidic foods.

A “Speckled” Lesion

Jessica Shireman

John M Crestetto

Ricardo J. Padilla

A 33-year old man presented with an asymptomatic blue-grey lesion of the hard palate.

A Blue-Grey Lesion of the Palate

Robert D. Kelsch

A 45-year old white male was referred with a chief complaint of a solitary, occasionally painful soft tissue nodule that had been present for approximately 6 months on the right tongue dorsum. He stated he initially noted the lesion after minor trauma to the site. He anticipated spontaneous resolution, but the lesion has persisted and remained stable in size for the past 4 months.

A Nodular Lesion of the Tongue

Renee Reich

Siema A Eljack

A 38-year-old male presented with a slowly growing mass of the right mandible. The lesion displaced the mandibular canine and premolar teeth on the same side.

A Nonulcerated, Slowly Growing Mass of the Mandible

John R Kalmar

Molly Rosebush

A 55-year-old white male was referred by his dermatologist for evaluation of an asymptomatic dark brown lesion on the mandibular facial attached gingiva.

A Pigmented Lesion of the Mandibular Facial Gingiva

Henry W. Ferguson

John W. Hellstein

Ronald L. Roholt

A healthy 25-year old Caucasian man presented for a routine dental examination. He was unaware of a subtle expansion involving the right posterior mandible, which was bony hard and nontender.  Radiographic findings prompted an immediate referral of the patient to an oral and maxillofacial surgeon for diagnosis and management of the jaw lesion.

The Case of a Subtle Expansion of the Mandible

Tom Daley

An ulcer involving the left posterior mandibular lingual mucosa was the chief complaint of this 55-year old white man. The ulcer was first noted about one month previously and no local eliciting factors could be identified. The ulcer had become progressively more painful in spite of antibiotic treatment (cephalexin, 500 mg, q.i.d, 8 days) and concomitant use of benzydamine hydrochloride rinse. The patient was healthy with no medical problems other than occasional nasal “stuffiness,” which was treated, as required, with budesonide nasal spray.

Persistent Painful Ulcer of the Posterior Lingual Mandibular Mucosa

George Blakey III

A 28-year old male had undergone extraction of tooth #17 secondary to pain and swelling in the area. He continued to experience symptoms for 6 months, developing a large painful mass of the left posterior mandible with facial swelling.


Painful Mandibular Mass Associated with a Molar

Craig B Fowler

Robert B Brannon

A 66-year old white male presented with a raised lesion on the left hard palate. The patient had been aware of the lesion for approximately two weeks, and there was no history of recent or past trauma. The patient’s medical history was remarkable for a long history of epilepsy; however, the patient was not taking any prescription medication at the time of presentation.

Non-Ulcerated Mass of the Hard Palate

Carina Schwartz-Dabney

Harvey-P-Kessler

Edward Ellis III

A 35-year old African-American female presented in February 2002 with enlargement of the left face in the area of the posterior mandible and ramus. The enlargement had extended to involve the submandibular area.

Recurrent Left Mandibular Enlargement

James Tankersley

A 66-year old white male was referred with a chief complaint of multiple painful oral and pharyngeal ulcerations.  He stated his symptoms began four months earlier with the occurrence of a mild sore throat, which was followed by the development of numerous ulcers throughout the rest of his mouth.  Because of the pain from these lesions, the patient suffered from dysphagia and resultant weight loss.

Multiple Painful Oral Ulcers

James C. Burns

An asymptomatic swelling was noted in the area of the left anterior maxilla of this two-month old infant by the child’s parents. The swelling apparently was of rapid onset since the pediatrician at the one-month well baby check-up did not note it. The swelling caused an elevation of the left alae of the nose and slight facial asymmetry of the upper lip.

Maxillary Swelling in an Infant

F. James Kratochvil III

A 45-year old white woman presented with a chief complaint of a loose crown on the maxillary right central incisor. There was a gray-black pigmented area on the alveolar mucosa in the apical region of the maxillary left central incisor and a firm mass in the left upper lip.

Mass in the Upper Lip

Yeshwant B Rawal

A 33-year old woman presented with dull pain associated with an expansile mass involving the left maxillary vestibule.

Expansile Mass of the Left Maxilla

Mohammed Mansour

Terry Angevine

An 11-year-old boy returned for a regular follow-up examination because he was noted to have bilateral radiolucent areas in the ascending rami of the mandible.

Bilateral Multi-locular Radiolucent Lesions of the Mandible

A 37-year-old male presents with a large mass involving the maxillary right posterior edentulous ridge distal to #6. After you have finished reviewing the available diagnostic information, make the diagnosis.

Mass Involving the Maxillary Right Posterior Edentulous Ridge

A 26-year-old male presents with linear leukoplakia on the right and left lateral borders of the tongue. After you have finished reviewing the available diagnostic information, make the diagnosis.

Linear Leukoplakia on the Right Lateral Border of the Tongue

A 32-year-old gravid female was advised by her obstetrician to have a “bump” in her cheek evaluated by a dentist. After you have finished reviewing the available diagnostic information, make the diagnosis.

Pregnant Female with “Bump” in Cheek

Jassem M. Saleh

Kurt F. Summersgill

A 70-year-old African American female presented with pain in the left posterior mandible. Asymptomatic, incidental radiopacities were seen in the patient's maxilla and mandible on a panoramic radiograph.

Incidental Radiopaque Lesions of the Jaws

A 33-year-old male presents with an asymptomatic “bump” on the dorsal tongue. After you have finished reviewing the available diagnostic information, make the diagnosis.

Asymptomatic “Bump” on Dorsal Tongue

A 39-year-old female presents with an asymptomatic blue-gray macule on the palatal aspect of the papilla between #5/6. After you have finished reviewing the available diagnostic information, make the diagnosis.

Incidental Blue-Gray Macule on Palate

A 62-year-old female presents with a chief complaint of, "I keep biting a bump in my mouth." After you have finished reviewing the available diagnostic information, make the diagnosis.

Painful Bump in Floor of Mouth

A 71-year-old male presents with multiple small yellow papules on the upper lip vermilion and right and left buccal mucosae. After you have finished reviewing the available diagnostic information, make the diagnosis.

Incidental Yellow Papules in the Upper Lip Vermilion

James T. Castle

John B Hoyos

An 8 year-old African-American female was evaluated during a regular dental examination for multiple radiolucent lesions of the mandible and maxilla.
After you have finished reviewing the available diagnostic information, make the diagnosis.

*The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.*

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