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mouth |
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the cheek, inner lip, tongue, soft palate, floor of mouth, and sometimes the throat. A generous field block (1 percent Xylocaine with epinephrine) is injected in the areas of the mental nerve, the lower gingival sulcus, and the floor of mouth, allowing approximately 10 minutes for the epinephrine to take effect in consideration of the potential for extensive bleeding and associated bruising. A diagnosis of Ludwig's angina was made on the basis of bilateral submandibular sialadenitis with sialolithiasis, which had caused the edema in the floor of mouth and the tongue. |
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