You have an appointment with a patient you have known for years. He is a 62 year old caucasion with hypertension, but no other diagnosed medical conditions. After comparing today’s radiographs with the ones taken a year ago, you notice more spacing between the teeth. The bone appears fuzzier, like cotton. He is also complaining that his partial dentures are not fitting well, so he hasn’t been wearing them.

You have an appointment with a patient you have known for years. He is a 62 year
old caucasion with hypertension, but no other diagnosed medical conditions.
After comparing today’s radiographs with the ones taken a year ago, you notice
more spacing between the teeth. The bone appears fuzzier, like cotton. He is also
complaining that his partial dentures are not fitting well, so he hasn’t been
wearing them.
1. What follow-up questions would you ask him?
2. What nonneoplastic bone disease do you suspect?
3. What are your next steps?