We read the recently published paper by Scholey and Suida,1 in which they described a case of first bite syndrome that developed after a bimaxillary osteotomy. They described symptoms consistent with first bite syndrome and diagnosed the condition with no evidence of intraoral or extraoral disease. The syndrome has a specific symptom of facial pain that occurs only with the first bite of a meal. We reproduced this by introducing lemon glycerine swabs into the mouth to stimulate the secretion of saliva, which seems to be a reliable technique for diagnosis.
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