Lingual nerve injury
CC An 18-year-old female is referred to a microneurosurgeon for evaluation of numbness of her left tongue. HPI The patient had all four third molars surgically removed by an oral…
Third molar odontectomy
CC The patient states, “My lower wisdom teeth are hurting.” HPI A 27-year-old female is referred to your clinic for consultation regarding her third molars. The patient completed her orthodontic…
Osteomyelitis
CC A 62-year-old female presents to your clinic with ongoing pain and swelling of 4 weeks’ duration after incision and drainage of a multispacer submental–submandibular abscess. HPI One month before…
Displaced root fragments during dentoalveolar surgery
CC A 41-year-old male is referred to your office for extraction of a nonrestorable left maxillary first molar. HPI Four years earlier, the patient had undergone a root canal procedure…
Lateral pharyngeal and masticator space infection
CC A 25-year-old male presents to the emergency department with the complaint that “my throat is swollen, and I cannot swallow.” HPI Approximately 1 week earlier, the patient began to…
Buccal and vestibular space abscess
CC The patient says, “My tooth is hurting, and it started swelling yesterday.” HPI A 39-year-old male presented to your office initially about 1 month ago, referred for extraction and…
Ludwig’s angina
CC A 45-year-old male patient with alcohol abuse disorder and no other known medical conditions presents to the emergency department (ED), complaining “My face and neck are swollen and hurt;…
Emergent surgical airway management
CC This is a 57-year-old male with a history pertinent for a known broken tooth #19 who has been treated multiple times over the past 6 months with amoxicillin for…
Malignant hyperthermia
CC A 15-year-old male is undergoing an open reduction with internal fixation (ORIF) of a left mandibular angle fracture in the operating room. (The incidence of malignant hyperthermia [MH] is…
Trigeminal neuralgia
CC A 52-year-old White female is referred by her physician for evaluation of an 11-month history of intermittent severe, stabbing pain and dull throbbing pain in the right maxillary zygomatic…
Respiratory depression secondary to oversedation
CC A 45-year-old female presents to your office for cosmetic eyelid surgery (blepharoplasty). HPI The patient is an otherwise healthy female for whom treatment was planned for bilateral upper and…
Eras (early recovery after surgery) protocol
CC A 21-year-old female presents with complaints of “I don’t like my gummy smile and weak chin.” HPI The patient has a skeletal and dental class II malocclusion with mandibular…
Subcutaneous drug–induced osteonecrosis of the jaws in patients with cancer
CC A 57-year-old female is referred by her oncologist for progressively advancing bone exposure in her mandible. Subcutaneous drug–induced osteonecrosis of the jaws The subcutaneous oncology drug used to reduce…
Effects of marijuana and vaping
CC A 21-year-old male presents for extraction of four asymptomatic, impacted third molars with local anesthesia and intravenous (IV) sedation. HPI The patient is a male who uses electronic cigarettes…
Laryngospasm
CC A 12-year-old female is scheduled for extraction of four bicuspids under intravenous (IV) general anesthesia. (Laryngospasm may occur more often in children because of the frequency of upper respiratory…
Perioperative considerations in pregnant patients
CC A 22-year-old multiparous G3P2002 (this is the patient’s third pregnancy: two children were born at term, zero children were born premature, zero were abortions or miscarriages, and two living…
Subcutaneous drug–induced osteonecrosis of the jaws in patients with osteoporosis
CC A 52-year-old postmenopausal female is referred for evaluation by her restorative dentist for “oral rehabilitation” using dental implants. Subcutaneous drug–induced osteonecrosis of the jaws The most commonly used subcutaneous…
Intravenous drug–induced osteonecrosis of the jaws
CC A 71-year-old female with a history of multiple myeloma of the past 5 years is referred by her oncologist because of “exposed bone” and a draining fistula ( Fig….
Oral drug–induced osteonecrosis of the jaws
CC A 65-year-old female is referred for evaluation because “the right side of my face aches, and I feel it is swollen.” Oral drug–induced osteonecrosis of the jaws Patients who…
The opioid epidemic
CC A 16-year-old female is referred for consultation regarding her third molars. HPI The patient desires extraction of her third molars before initiating orthodontic therapy, and she presents with her…
