I couldn't tell his body color from the photo, but is he shedding his face/beard right now? The reason I ask is my first Dragon once lost that same exact scale during a shed, the entire scale came off and exposed that same raw spot, and it was driving him crazy because I'm assuming when they lose a scale like that and just have open, raw tissue it really does hurt. Either way, whether he lost it due to a shed or an accident, that's all it is, a scale came off of his chin and he's got some sore, raw tissue exposed. Keep putting the raw, unpasteurized honey on it, diluted, twice a day, and it will probably look a little weird once it's healed, don't be alarmed by that. When they actually lose a very pronounced scale like that it usually looks a little weird for the rest of their lives, but it's not a problem and nothing is "wrong" with it.
Metacam isn't going to help the pain from this injury at all, it's a pain/swelling medication for muscular/skeletal injuries, large, deep wounds, etc., but it's not going to help with an area of raw, exposed, external tissue like that. Imagine having an external burn or a blister that pops, that's the type of soreness he's feeling, except probably a bit worse since it's on his face. I can tell you what I did for my guy that seemed to immediately help him, I put topical Lidocaine on the area 3 times a day, which completely numbed his whole chin, and he was perfectly fine about 2 minutes after I applied a dab of it with a Q-Tip.
I always keep a tube of cream on hand at home, either 4% or 5% topical Lidocaine (strongest available over-the-counter), which I buy at Walmart or any drugstore, though Walmart is much cheaper, I think a tube of 5% Lidocaine cream costs me $6 at Walmart...LOL, now here's the weird part, it's actually the "Walmart" generic brand, but it's a Hemerrhoid cream, lol. That's the only way it's available over-the-counter (little tip from my Certified Reptile Vet years ago). It's right with the "Preparation H" creams and such at Walmart, in a little light blue and white box, and it's called something like "Hemerrhoidal Pain Relief" or similar, and it says "5% Lidocaine Cream" right on the front of the box underneath the name...I'll tell you, it's worth every penny if you burn yourself, have a blister, a bad papercut, or any other external, topical wound or injury that really hurts badly, it's completely safe, has nothing else added to it but the Lidocaine, and it completely numbs the area for hours with one little dab of it rubbed in lightly. Best $6 I've ever spent, lol...
I know better LOL (supposedly). Sign...I guess that's what happens after you had a really sick rescue pass. Charlie is so babied <3
And the shed makes total sense - he was shedding not long ago and that one spot was staying dark, so I tried to keep and eye on it. He's already starting to look better with the diluted honey.
