IV drug user. Presents with swelling and pain around right hemimandible and pre-molar teeth
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OPG demonstrates dental caries involve all 4 quadrants of the mouth. Several teeth are fractured or absent, especially in the left hemimandible.
Lucency surrounding the right mandibular pre-molar teeth is consistent with abscess formation.
The patient was an IV methamphetamine user. A comparison OPG from several years earlier demonstrates less severe dental disease.