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A 45-year-old female comes in with a white mass on her Panoramic radiograph. Whats the next step? Is this something we need to treat, or can we monitor it? The work up today on the Open Reduction. Welcome to the Open Reduction, your channeling covering all topics Oral and Maxillofacial Surgery. I am Dr. Tom Bolten, and today were working up of a radiopaque mass in the left mandible.This patient is a 45-year-old female who recently saw her general dentist for a routine checkup. He obtained a Panoramic radiograph, and noticed this lesion. He subsequently referred her to my office for treatment. A bit more background information: this lesion is asymptomatic and if it wasnamp;#39;t for this x-ray, this patient would have no idea the lesion is there. She had her wisdom teeth removed about 15 years ago. This one is somewhat unique in that it is a radiopaque lesion. When we are evaluating lesions of the jaw on radiographs, they fall into three broad categories:
