Introductionįirst bite syndrome is an uncommon complication following surgery involving the infratemporal fossa and the parapharyngeal space or deep lobe of parotid 1. General dental practitioners (GDPs) should be aware of the typical clinical presentation of first bite syndrome and refer appropriately to oral and maxillofacial surgery. The role of a GDP is important in management and potential diagnosis. Objective: The reader should understand the presentation and management of first bite syndrome. We report a case of first bite syndrome that was referred to our unit in an effort to make GDPs aware of the presentation of and to highlight the management of this potentially debilitating chronic pain syndrome.ĬPD/Clinical relevance: This paper describes how first bite syndrome may present as a complication following surgery general dental practitioners should be aware that it may represent the initial presentation of an underlying neoplastic process of the parotid gland or parapharyngeal space. John’s Hospital, Livingstonįirst bite syndrome is an uncommon complication following surgery involving the infratemporal fossa and the parapharyngeal space or deep lobe of parotid. John’s Hospital, Livingstonģ MB ChB, BDS, FFD RCSI, FRCSEd (OMFS), Consultant in Oral and Maxillofacial Surgery, St. John’s Hospital, LivingstonĢ BDS, MFDS RCPSG, MFDS RCSEd, Core Trainee in Oral and Maxillofacial Surgery, St. Paley 3ġ MB BCh, BDS, MRCSEd, MFDS RCSEd, Specialist Registrar in Oral and Maxillofacial Surgery, St. First bite syndrome: What every general dental practitioner should knowĭonal P.
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