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Oral Pathology

284 - The Destruction of Oral Tissues from Burkitt Lymphoma: A Case Report

Saturday, May 23, 2026
11:45 AM - 12:00 PM PST
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Abstract: Jaw radiolucencies in children can occur due to a multitude of reasons, the most common being periapical radiolucencies of inflammatory origin (PRIOs) or rare diseases like advanced periodontal diseases, oral manifestations of rare systemic diseases, or oncological diseases. This case describes a 12-year-old male, who was admitted to the hospital for inpatient observation, tests, and imaging, with a chief complaint of pain in jaw, mobile teeth, multiple oral abscesses, and radiographic skull lesions. Clinical examination revealed orthodontic brackets on all teeth without the presence of wires, Class II and III mobility on all dentition, abscesses without purulence in several locations on the oral mucosa, and significant midfacial extraoral swelling. CBCT radiographic examination revealed significant bone loss of the maxillary and mandibular alveolar bone, loss of the periodontal ligament space on all teeth, and loss of the trabeculation pattern of bone in both jaws. Other imaging revealed numerous skull and sinus lesions, of unknown origin, varying in size. Patient reports that the abscesses fluctuated in both severity and number within the last 8 weeks, and all teeth became mobile immediately following the removal of orthodontic wires roughly 2 weeks prior to inpatient dental consultation. This case evaluates the rapid deterioration of the oral cavity and surrounding dental structures due to an underlying cause, which is eventually diagnosed as aggressive Non-Hodgkins Lymphoma.

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