Article: Volume 44 Number 10 Page 984 - November 2017

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  Dent Update 2017; 44: 984-985

Oral and Maxillofacial Surgery:  A Case of Poorly-Differentiated Squamous Cell Carcinoma following Dental Extractions

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Abstract: Gingival squamous cell carcinomas (SCC) are relatively rare and make up approximately 10% of oral squamous cell carcinomas.1 The initial signs and symptoms of a gingival SCC can resemble common dental and periodontal infections and hence it is usually diagnosed late with a relatively poor prognosis. This report presents a case of a healthy 39-year-old patient who attended for routine wisdom teeth extractions, and returned to the emergency department complaining of progressive trismus and paraesthesia of the lower lip. A provisional diagnosis of osteomyelitis was made. However, further clinical, radiographic and histopathological investigations resulted in the diagnosis of poorly-differentiated SCC.

Clinical relevance: A series of misdiagnoses were made by specialists and by general dental and medical practitioners; this case highlights the importance of recognizing the signs and symptoms of oral carcinoma and appropriate subsequent management.

Author notes: Aneesh Kalra, BDS, MSc, MFDS, Dental Core Trainee 1 in Oral and Maxillofacial Surgery and Christoph Huppa, MBBCh, BDS, Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, UK.

Objective: To understand and be able to diagnose the early features of oral squamous cell carcinoma

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