This dental medicine case involves a female patient who appeared at the office of her general dentist in Vermont complaining of a toothache with swelling and pain in her right jaw. The dentist examined the patient in a perfunctory way, feeling the side of her face. The dentist told her that her tooth was not abscessed, and prescribed some pain medication and a muscle relaxer. No antibiotics were discussed or prescribed nor were x-rays taken. When she got home, the patient took the medications as prescribed. Shortly thereafter, the patient became sick and vomited. The patient continued to feel ill and called the dentist’s office again after-hours, left a message on the answering machine but never received a return call. The next day, the patient collapsed. She was taken by ambulance to a Medical Center and was admitted. X-rays revealed an impacted tooth and an abscess; an infection in the patient’s jaw had spread and she was septic.The patient is permanently injured, and portions of her jaw had to be removed.