We present a case of a male patient admitted for emergency treatment at the Clinic for Maxillofacial Surgery of the University Hospital “St. George” in Plovdiv with suspected lower jaw fracture. The patient had previous nephrectomy for renal cancer in 2016. Bone metastases were detected in 2017 and therapy with Zometa was undertaken. In 2018 the patient was diagnosed with osteonecrosis of the mandible. The patient reports that he has been treated at another Clinic for Maxillofacial Surgery for extraction of impacted wisdom tooth. A few days after the removal of the threads during feeding, a strong cracking noise was heard in the region of the jaw angle at the side of the extraction. An orthopantomogram and computed tomography were performed, which revealed a pathological fracture. For more information click here.