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Updated: Mar 19, 2026
07:26
Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
2.0K
[Jawbone metastasis masquerading as dental pain]
Refu'At Ha-Peh Veha-Shinayim (1993)
|June 15, 2016
Summary
Metastases to the jaws are rare but can present as dental pain. Early recognition by dentists is crucial for patients with a history of cancer.
Area of Science:
- Oncology
- Oral Medicine
- Radiology
Background:
- Metastases to the oral cavity are uncommon, yet can be the initial presentation of advanced cancer.
- Metastases to the jaws are more frequent than to oral soft tissues, often mimicking dental pain.
Observation:
- A 67-year-old female with a history of breast cancer presented with severe, endodontically resistant mandibular pain.
- Clinical examination revealed a soft tissue mass perforating the mandible, confirmed by CT scan as metastatic disease.
Findings:
- The patient's symptoms included pain and a burning sensation in the lower lip and chin.
- Radiotherapy provided rapid pain relief, but the patient succumbed to the disease one month later.
Implications:
- Oral symptoms can be the first indicator of metastatic disease.
- Dentists must consider jaw metastases in the differential diagnosis for patients with a history of cancer.
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