Ignored amalgam pigmentation leading to discomfort upon denture wearing: A case report

Document Type

Article

Publication Date

1-1-2021

Abstract

Pigmented oral lesions are commonly encountered in clinical dental practice. They range from physiologic changes to manifes-tation of systemic diseases or neoplasms, sometimes posing diagnostic challenges. In this article, a case of a 73-year-old male with a pigmented oral macule on his lower left alveolar ridge, which was ignored initially, is reported. The patient’s complaint included an ill-fitting denture causing discomfort, arising due to the tenderness over the pigmented lesion. Investigations including biopsy, histopathology, and energy dispersive X-ray analysis (EDX) were carried out to determine the definitive diagnosis of amalgam tattoo. The clinical features, etiology, histopathology, and management of this case are briefly discussed. After surgical intervention to remove this pigmentation, the healing was uneventful without tenderness upon palpation and proceed to construction of removable prosthesis. Nevertheless, the importance of thorough investigation of an ignored amalgam tattoo in edentulous areas, before fabricating dentures form the essence of this case report. © Anand Ramanathan 2021.

Keywords

Alveolar ridge, Amalgam tattoo, Denture fabrication, Oral pigmentation, Tenderness

Divisions

Dentistry

Funders

Dental Research Management Centre, Faculty of Dentistry, University of Malaya

Publication Title

International Journal of Dentistry and Oral Science

Volume

8

Issue

6

Publisher

SciDoc Publishers

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