Although his symptoms had been festering for months, it was not until James sank his teeth into a peanut butter and jelly sandwich that he finally knew with certainty that something was horribly wrong. His nose had been draining incessantly, but numerous evaluations and attempts at treatment—including a septoplasty and course after course of antibiotics—had not solved the problem. He kept smiling his increasingly crooked smile while explaining himself to a multitude of physicians. Eventually, on that fateful day, James felt a sharp twinge while taking a bite and quickly pulled the sandwich out of his mouth. He inspected the slice of bread and found one of his teeth buried inside of it.