Case-based Learning
Clinical Case Library
41 worked cases — history, examination, imaging, differential, definitive diagnosis, treatment and outcome. Every case links to its full atlas page.
Draft — educational study aid, pending faculty review. Not a substitute for clinical judgement.
41 cases

Slowly enlarging swelling of the anterior maxilla
Painless swelling of the upper front gum for 8 months

Incidental multilocular radiolucency of the mandibular ramus
Lesion found on a routine radiograph before orthodontic treatment

Painless mandibular expansion with tooth displacement
Gradual swelling of the left lower jaw for 2 years

Failure of eruption of a lower third molar with cystic change
Dull ache and swelling behind the last lower right tooth

Non-healing ulcer of the lateral tongue in a smoker
Painful ulcer on the side of the tongue for 3 months

Homogeneous white patch of the buccal mucosa
White patch inside the cheek noticed by the dentist

Progressive trismus in an areca nut chewer
Unable to open the mouth wide and burning on spicy food for 2 years

Bilateral reticular white striae with erosive areas
Soreness of both cheeks, worse with spicy food, for 6 months

White plaques that wipe off in an inhaler user
White coating in the mouth and altered taste for 3 weeks

Rapidly progressive bilateral submandibular swelling with airway compromise
Severe swelling under the jaw and difficulty swallowing for 2 days

Bilateral mandibular fracture after a road traffic collision
Painful jaw, cannot bite properly after a motorcycle crash

Flattened cheek and diplopia after assault
Depressed cheek and double vision after being punched

Midface mobility and malocclusion after a high-speed collision
Face feels loose, teeth do not meet after a car crash
Progressive inability to open the mouth since childhood
Cannot open the mouth; face has grown asymmetrically

Clicking and painful jaw in a young woman
Clicking and pain in front of the ear when chewing for 8 months

Slow-growing painless lump in the parotid
Painless lump in front of the right ear enlarging over 3 years

Palatal swelling with a bluish hue in a young adult
Painless lump on the roof of the mouth for 10 months

Mealtime swelling of the submandibular gland
Painful swelling under the jaw whenever I eat, for 6 months

Dry mouth and bilateral parotid enlargement
Persistent dry mouth and gritty eyes for 2 years

Recurrent bluish swelling of the lower lip in a teenager
Painless bubble on the lower lip that bursts and comes back

Bluish floor of mouth swelling with a cervical component
Swelling under the tongue and in the neck for 4 months
Chronic jaw pain with pus discharge and a sinus tract
Persistent pain and bad-tasting discharge from the lower jaw for 3 months
Exposed necrotic bone in a patient on zoledronic acid
Rough painful area of exposed bone in the lower jaw for 4 months

Painless unilateral maxillary swelling in an adolescent
Gradual enlargement of the left cheek over 3 years

Expansile anterior mandibular lesion crossing the midline
Swelling of the lower front jaw noticed 6 months ago

Rapidly enlarging painful mandibular swelling with lip numbness
Fast-growing painful swelling of the jaw for 6 weeks
Bleeding gingival mass in pregnancy
Lump on the gum that bleeds when brushing, growing for 6 weeks

Widespread painful oral erosions preceding skin blisters
Painful sores throughout the mouth for 2 months, cannot eat

Recurrent painful oral ulcers in a young adult
Mouth ulcers every few weeks for 3 years
Febrile child with widespread oral vesicles and bleeding gingiva
Child refusing food, drooling, with fever for 3 days

Facial swelling and severe pain from a carious molar
Throbbing toothache with cheek swelling for 2 days

Delayed eruption of a maxillary canine in an adolescent
Baby canine still present at age 14

Rapidly enlarging pigmented palatal lesion
Dark patch on the roof of the mouth that has grown and started bleeding

Purple palatal lesions in an HIV-positive patient
Purple patches on the palate that are enlarging

Painless neck lump in a non-smoker with a small tonsillar primary
Lump in the neck for 3 months that does not hurt

Single tooth implant replacement in the aesthetic zone
Missing upper front tooth after a sports injury 6 months ago

Class III skeletal deformity with anterior crossbite
Lower jaw sticks out and I cannot bite my front teeth together

Newborn with a unilateral complete cleft lip and palate
Baby born with a split lip and palate, difficulty feeding

Bluish compressible lesion of the tongue that blanches
Soft bluish lump on the tongue present since childhood
Avulsed maxillary central incisor in a schoolchild
Front tooth knocked out playing football 40 minutes ago

Chronic submandibular swelling with sulphur granules
Firm lump under the jaw discharging yellow granules for 3 months