This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Which of the following features is not associated with acute osteomyelitis of mandible 
Select and explain. 
A. Severe pain, B. Purulent exudate, C. Paresthesia of lower lip, D. Radiographic evidence of bone destruction
D: Radiographic evidence of bone destruction
Answer: D: Radiographic evidence of bone destruction 
Explanation: None