CASE STUDY 4   Age 48 yrs Scenario Sex Male Female The patient is visiting his dental office of record as follow-up before his prosthesis appointments will begin. Intraoral examination shows bone damage of mandibular alveolar process with hemorrhaging and paresthesia of the entire lower lip (see Figure 1). Patient admits to not performing oral care as recommended by the attending oral surgeon at the local hospital. Height 5’8” Weight 175 lbs BP 110/85 ChiefComplaint “The bottom of my mouth is bleeding and I have a pins and needles feeling in my entire lower lip since my surgery.” Medical History Surgical removal of mandibular dentition in preparation for implants; patient did not stop smoking or chewing tobacco as requested; frequent alcoholic beverages Current Medications Narcotic pain medication AntibioticsAntiseptic oral rinse Social History Rock band manager

Which of the following cranial nerves is involved in Bell’s palsy?

The lymphatics are a portion of the immune system, and they help fight disease processes.  Another component of the immune system is the thymus gland and the spleen.

Which of the following descriptions concerning the maxillary artery is correct?

Which of the following provides branches for the most direct blood supply to the TMJ?

Protrusion of the mandible primarily involves:

Which muscle needs to be more prominent on a patient to achieve palpation of the region where the superior deep cervical lymph nodes are located?

Which of the following is the recommended target site for the local anesthetic block associated with this lesion?

Which of the following nerve and tissue pairs are correctly matched?

What is another term for the articular fossa of the temporomandibular joint?