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An otherwise healthy 69-year-old woman was referred to an oral medicine and facial pain clinic for evaluation of persistent right mandibular infection and pain that had begun 5 months previously. She correlated the onset to an extraction of the mandibular right first molar (tooth no. 30) due to gross caries. She had recurring episodes of facial swelling, tongue paresthesia, and dysgeusia. She reported that her symptoms did not improve despite multiple antibiotic treatments. Clinical examination revealed mobility and tenderness on palpation of the mandibular right anterior teeth and premolars.