PAGD Keystone Explorer Spring 2021

dentistry issues Q A female patient in her mid-50s presents to your practice for a new patient exam. You notice a 4x5mm round, dark brown or black pigmented lesion of the left buccal mucosa above the level of the occlusal plane. When asked, the patient is unaware of its presence. The patient is fair-skinned and has an unremarkable medical history. No other lesions or irregularities are seen in the mouth and she has good oral hygiene despite numerous crowns and restorations that were placed when she was younger. A 64 year old female patient you have treated for many years is in for a cleaning and recall examination. You notice decreased salivary flow and the patient complains of dry mouth. She was recently diagnosed with vitamin B12 deficiency and is now taking oral supplements for vitamins B2, B6, B12, and D3. She also is treated by a physician for multiple sclerosis, left heart failure, and porphyria. Case I Case II Keystone Explorer | Spring 2021 11