Hypertension
CC A 40-year-old African American male presents to the office with a referral for extraction of third molars because of periodontal disease. (Essential hypertension is most commonly diagnosed during the…
Acute myocardial infarction
CC A 57-year-old male with a history of hypertension, coronary artery disease (CAD), and hypercholesterolemia is referred to your office for evaluation of a biopsy-proved mandibular dentigerous cyst. The perioperative…
Diabetic ketoacidosis
CC A 17-year-old female with diabetes presents to the oral and maxillofacial surgery clinic 5 days after extraction of her four third molars. She complains of “nausea and vomiting.” HPI…
Diabetes mellitus
CC A 53-year-old male with a history of type 1 diabetes mellitus (DM1) presents to the emergency department (ED) complaining of swelling of mouth and neck, making it difficult for…
Stroke and cerebrovascular disease
Stroke is the second cause of death and is a leading cause of serious long-term disability worldwide. Approximately 800,000 people in the United States have a stroke each year, of…
Genioplasty
CC A 28-year-old female complains about her nose shape and chin appearance. She explains, “My chin has a little deviation to the right side, and I have a receding chin….
Acute asthmatic attack
CC A 17-year-old male with a history of asthma is referred to your office for evaluation of symptomatic partially impacted third molars. Asthma is seen in about 3% to 5%…
Cervicofacial lifting
CC The patient is a 56-year-old White female who presented for facial rejuvenation surgery ( Fig. 88.1 , eFig. 88.2 to Fig. 88.3 ). Her chief complaints include looking tired…
SARS-CoV-2 and oral and maxillofacial surgery considerations
CC A 27-year-old White female presents after 2 weeks of minimally invasive rhinoplasty using piezoelectric surgery with dorsal preservation for postoperative follow-up. She complains about the development of an olfactory…
Hemifacial microsomia
CC A 21-year-old male patient with left-sided hemifacial microsomia (HFM) presents for treatment of a persistent facial asymmetry. (HFM may have a male predilection and a higher occurrence on the…
Von Willebrand’s disease
CC A 16-year-old White female is referred to your office for evaluation of an asymptomatic radiopaque mass of the maxilla consistent with a complex odontoma. HPI The lesion was identified…
Alcohol withdrawal syndrome and delirium tremens
CC A 35-year-old White male presents to the emergency department (ED), stating, “I was hit in the face, and I think that my jaw is broken.” HPI The patient was…
Cardiac arrest
CC A 61-year-old male undergoing extraction of carious teeth with deep sedation develops ventricular tachycardia (VT). HPI The patient, a 61-year-old male who denies any previous past medical history, was…
Oral anticoagulation therapy in oral and maxillofacial surgery
CC A 63-year-old male is referred to your office by a general dentist in your community for full-mouth extractions, alveoplasty, and mandibular tori removal before maxillary and mandibular complete denture…
Nonsyndromic craniosynostosis
CC A 7-month-old male infant is referred by his pediatrician for evaluation of a cranial dysmorphology. HPI The mother of this 7-month-old, otherwise healthy male (craniosynostosis has a male predilection)…
Acquired immunodeficiency syndrome
CC A 58-year-old male who is seropositive for the human immunodeficiency virus (HIV) is referred to your office. He complains, “I am having pain in my mouth, and I need…
Liver disease
CC A 54-year-old White male presents to the emergency department, complaining, “I was hit in the face, and my teeth do not meet right. It has not stopped bleeding.” HPI…
End-stage renal disease
CC A 68-year-old (age is a risk factor) African American (highest risk factor) female with a history of end-stage renal disease (ESRD) presents with her third episode of acute pericoronitis…
Congestive heart failure
CC A 65-year-old male presents to the emergency department after a witnessed mechanical fall complaining of “a bad bite and shortness of breath.” HPI The patient had been unloading his…
Obstructive sleep apnea syndrome
CC A 46-year-old White male is referred to your office by his primary care physician for evaluation and management of obstructive sleep apnea syndrome (OSAS). (The reported prevalence of obstructive…
