Case presentation A 79-year-old male comes to your clinic for an evaluation of his mouth sores. He first observed having difficulty wearing his lower denture about one month ago and it has gradually gotten worse. He points to the molar area of his lower left mandibular ridge . He had an immediate denture placed nine months ago and up until a month ago, he was doing fine.
Medical history The patient has no adverse drug events. Following are the medication he has been taking: Zoledronic acid 4mg qd 3 months Lupron depot 22.5mg qd 3 months Spironolactone 100mg qd Losartan 50mg qd Aspirin 81mg qd Centrum silver qd Pertinent medical history: Metastatic prostate cancer x 3 years with metastases to the pelvis, right hip, and lower back (managed with irradiation/chemotherapy); HTN x 20 years. Pertinent family history Father had prostate cancer and died at the age of 66. Mother…
