Pulpal destruction of neoplastic etiology

Abstract

Pulpal destruction due to a periapical metastaticmalignant tumor is a rare occurrence. In this case report, the patient complained about numbness of the right lower lip and “shifting” of the teeth in the region. It is important for dentists to remember that these complaints are frequently associated with malignant neoplasms. There was a large radiolucency involving the root of the second bicuspid and extending to the mesial root of the second molar. Because of the suspicious radiographic appearance of the lesion and the clinical condition of the pulp, a pulp biopsy was taken. There was no hemorrhage as a result of extirpation, and the examination of the pulp tissue demonstrated that the pulpal response was not of iatrogenic origin. A biopsy of the periapical lesion revealed a plasma cell tumor consistent with multiple myeloma. It was concluded that this tumor had cut off the circulation to the pulp.