History of Present Illness

History of Present Illness. The patient reported a history of right sided facial swelling a few weeks prior, which had since settled with a self-administered course of antibiotic and increased dosage of her regular pain medication. The px also reported her dentition was limiting her diet consistency to soft foods and limited her social interactions. The px desires for a “normal” appearance of her teeth and denture rehabilitation in the future..

Clinical Examination. Extra-oral examination at the time of consultation revealed no regional lymphadenopathy, trismus, facial swelling/asymmetry or TMJ pathology. A loss of occlusal vertical dimension was apparent..