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Dr. Fred Ting is an internist and medical oncologist in the Philippines and is based in Bacolod City. His research interests are in health systems, palliative and supportive care, and solid tumors. He has authored numerous publications in various international peer-reviewed journals and has received multiple awards for his work.
This is a case of a 59 year-old female was seen due to pain and purulentdischarge on the right mandible. Patient is a diagnosed case of multiple myeloma three years prior to admission who was treated with melphalan, prednisone, zolendronic acid, and has undergone radiotherapy for 25 sessions. Panoramic radiograph of the mandibles showed radioluscency at the body of mandible suggestive of an osteonecrotic process. After discovering this, zolendronic acid was discontinued and sequestrectomy and hyperbaric oxygen was done as advised by the maxillofacial surgeon.