What is the WHITE SPOT on this X-RAY?? How to Evaluate a RADIOPAQUE Lesion | OMFS | Oral Path

A 45 year old female comes in with an incidental finding on PANORAMIC RADIOGRAPH of a WHITE LESION in her LEFT MANDIBLE. It is ASYMPTOMATIC and she has NO IDEA it is there. What should we do? Is this something we can MONITOR, or does it require TREATMENT? How to WORK UP this RADIOPAQUE lesion today on the OPEN REDUcTION ORAL & MAXILLOFACIAL SURGERY with Dr. TOM BOLTEN. @OpenReductionOralSurgery #oralsurgeon #maxillofacialsurgeon #dentaleducation #dentalstudenteducation #dentalinfluencer #dentist #drbolten #medicaleducation #medicalstudent #pathology #pathologist #oralpathology #radiology

[richardpapp]

As a general dentist who has had a focus on surgery for the past decade, LOVE your channel. Solid info and advice without hyperbole. Loved the episode about retrieving root tips in the sinus. Can not count how many associates have freaked out about it over the years :)

[mania.v]

Interesting.. Looking forward to the follow-up

[DaBox]

excellent vid, doc! when can we expect part 2?

[Sclpel]

You're amazing, please keep uploading more

[BishnuUprety-yt]

I have same white spot on my sinus area… they referred me to specialist for biopsy lesions for further evaluation…. do I have to do any surgery or not …. Does it gonna create any deformation/change in my face ? …

[henripwnq]

Why did the dentist not refer the patient after taking the first opg?

[maxadil]

What if the lesion doesn't grow.with time mean to say if she has not previous radiograph with her then wht should be criteria then for removal

[rosariodagosto]

A FILLING IN TEETH MAYBE 😊😊😊

[autismmom]

My 17 year old son had a Panoramic radiograph and it shows a large size lesion (looks like a marble size) in between the front tooth and left tooth beside it at the roots that is separating the two teeth from the base of the roots. 
I called the old dentist because he had a panoramic radiograph a few years ago and they don’t have his records anymore, as his new dentist said it would be extremely helpful in seeing if there was a growth their in the previous pan.
I looked up British Columbia college of oral health records to get an answer. It says 16 years for record keeping, but exceptions for children and people with disabilities which is horrible.