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Ludwig angina — NDEB AFK MCQ

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HardOral SurgeryLudwig anginaNDEB AFK

A 43-year-old with an untreated mandibular molar infection has fever, dysphagia, floor-of-mouth elevation, and bilateral submandibular swelling. The tongue is displaced superiorly and the patient is drooling. What is the most important consideration?

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Correct answer: D — Airway compromise requiring emergency referral

Bilateral submandibular swelling, dysphagia, drooling, and floor-of-mouth elevation suggest Ludwig angina with risk of airway compromise. Elective dental treatment is inappropriate until the airway and infection are managed urgently. The pearl is that odontogenic infections below the mylohyoid can become life-threatening rapidly.

Reference: Canadian oral surgery reference texts; NDEB KSAs 2024