A 32-year-old woman was referred by her dentist to an oral surgeon for evaluation of persistent bilateral cheek swelling and mouth pain. Two months prior to presentation, the patient had awoken with bilateral linear “gashes” in her mandibular vestibule that were accompanied by bilateral buccal facial swellings. Since that day, the facial swelling remained unchanged, and although the mucosal lesions healed, the oral pain persisted. The patient’s medical history was noteworthy for depression, for which she was taking bupropion and fluoxetine, and prior alcohol use disorder, for which she was 3 years sober. She denied any smokeless tobacco use but endorsed daily electronic cigarette use.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Scott M. Peters, DDS, Columbia University Irving Medical Center, 630 W 168th St, PH15-1562W, New York, NY 10032 (email@example.com).
Published Online: February 3, 2022. doi:10.1001/jamaoto.2021.4212
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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