Pamidronate and tooth ache
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZ-aN4033WeZ3ACHn4lxvuHH_fJIex6grpzcHW5NUBArkZai3hktqZH-YBYueyfTodzINozwIMLfYfuFD5ug5M4gREeQs99iVTUmFjdQ5VItCRX3xxPS_A1-0ciDa9k_jijluN/s320/pow.jpg)
A 57 years old White male is seen in the office with complaints of left sided tooth ache following a recent dental procedure.He has 6 Yrs history of Multiple Myeloma for which he is on Thalidomide maintainance therapy and IV pamidronate infusion every 4 months for the last 3 yrs. Vitals are stable except for a Temp 100 F. His oral cavity examination is shown
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