History of Present Illness

This is a 43-year old white male who presented to the University of Washington Oral Medicine clinic with “dull pain in the right lower jaw” of three months’ duration.  The patient had attempted previously to save badly carious teeth #s 30 & 31.  Both teeth were tender to percussion with failing restorations.  In addition to the carious teeth, this patient had multiple soft tissue swellings in the mouth, head and neck area, as well as  other parts of his body.