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Message: [QUOTE="mrjohnson, post: 128282, member: 11443"] Hi, I am a dentist who recently graduated. last week there was a patient and he had pain in the lower jaw. On pressure of the 3rd lower molar (by biting), the pain relieved. Upon examination, the third molar was inclined towards the 2nd molar and there appeared to be caries on the xray distally from the second molar. I wanted to extract the third molar and restore the second molar, but because it was inclined and hooked under the 2nd molar, I sliced the third molar mesially to extract the third molar without pulling the second molar out. However the pain got worse even though the mandibular block was good. the upper third molar had a huge cavity and was almost gone, there was also a radiolucency apically from the upper third molar. his entire face was hurting on this side, the pain was radiating from his lower jaw to the temporal muscle. I did not know where the pain came from and started to doubt myself, so I aborted the procedure and referred him to a specialist. I suspected a sinusitis because of the atypical symptoms. What could it have been and did I do the right thing? [/QUOTE]