Mandibular pain, trismus, and weight loss in a 75-year-old man

A 75-year-old man presented to the outpatient clinic of the Department of Oral Surgery at Tokai University Hospital with a painful second right mandibular molar. The patient had received root canal treatment at another dental clinic 2 months previously, but the pain did not improve. Because mandibular osteomyelitis was suspected, he was referred to our department. His weight was 68 kg. He had been on treatment for diabetes for 20 years, and he had smoked 40 cigarettes per day for more than 25 years.

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