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Dentistry · Oral and maxillofacial surgery and facial fractures: submasseteric space infection
Sample itemAfter pericoronitis of a lower third molar, a patient has severe trismus and swelling over the ramus and angle of the mandible, with little intraoral swelling. Which space is likely involved?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Submasseteric space
The submasseteric space lies between the masseter and the lateral surface of the ramus. Infection from a lower third molar causes marked trismus and swelling over the ramus, and surgical drainage is needed.
Option by option
A. Submasseteric space (correct)
Correct. Swelling over the ramus with severe trismus indicates the submasseteric space.
B. Submandibular space
Submandibular space infection swells below the lower border of the mandible.
C. Sublingual space
Sublingual space infection raises the floor of the mouth.
D. Pterygomandibular space
Pterygomandibular space infection gives trismus but little external swelling.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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