Presentation Patients present with swelling, burning, or soreness at the vermilion border of the lips followed by the appearance of clusters of small painful vesicles on an erythematous base ( Fig. 54.1 ). The vesicles can rupture to produce red,…
Presentation A parent may present with an infant with white patches in the mouth, or an older patient—classically with either poor oral hygiene, diabetes, a hematologic malignancy, an immunodeficiency, or on antibiotic, cytotoxic, or steroid therapy—may complain of a sore…
Presentation Because of the rich vascularity of the soft tissues of the mouth, impact injuries often lead to dramatic hemorrhages that bring patients with relatively trivial lacerations to the emergency department (ED) and other health care facilities. Blunt trauma to…
Presentation With mild gingivitis, the patient’s gums bleed easily and become red and swollen with increased sensitivity. As symptoms worsen, the gums begin to recede and take on a beefy red, inflamed color. Further progression leads to the most severe…
Presentation After a direct blow to the mouth, a portion of a patient’s tooth (most often one of the maxillary incisors) may be broken off, or a tooth may be loosened to a variable degree. Ellis class I dental fractures…
Presentation The patient presents with a sharp, throbbing pain in a tooth. This pain is often worse when the patient is in a recumbent position. This individual may or may not be aware of a cavity in the affected tooth.…
Presentation Patients present with severe, dull, throbbing pain 2 to 4 days after a tooth extraction, usually a wisdom tooth in the lower jaw. The pain is often excruciating and continuous; may radiate to the ear, temple, or neck; and…
Presentation Patients, typically between the ages of 17 and 29, seek help because of painful swelling and signs of infection around a partially erupted or impacted third molar (wisdom tooth). There may be a bad taste caused by pus oozing…
Presentation The patient complains of severe, constant facial or dental pain, often associated with facial swelling, regional lymphadenopathy, and cellulitis, and may exhibit signs of systemic toxicity. The pain may be gnawing, throbbing, or sharp and shooting. Dental caries may…
Presentation Patients present with a painful sensation of the tongue or mouth. The pain is variably described as a burning, tingling, hot, scalded, or numb sensation, the magnitude of which is similar to a toothache. The sensation occurs most commonly…