This is topic osteomyelitis, jaw, anyone? in forum Medical Questions at LymeNet Flash.

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Posted by Ellen101 (Member # 35432) on :
I had a tooth extracted March 18. Things didn't go well and it took over 2 hrs to get the tooth out. Drills were used, endless twisting and pulling. It was horrendous. I was sent home on amoxicillin.
4 or 5 days after the extraction pain increased significantly and I was told to switch to clindamycin. 2 days later pain no better.

I went to a different oral surgeon and he said I had a dry socket. He put in a medicated packing and told me to stop the antibiotics as there was no sign of infection. I have been going every 2-3 days for packing changes and things seemed to be getting betteruntil Sunday. I started having increased pain in my jaw bone beneath the extraction. Yesterday they said the bone is still exposed....

He put in another packing and did a packing change and did a panorex. He advised going back on the clindamycin as a precaution. If things don't improve then he said I may need a bone scan/cat scan to check for osteomyelitis.

I am so petrified that this could be the case..
Posted by rera2528 (Member # 29886) on :
I have no experience, I just wanted to wish you the best with this. I hope you have healing and hear the news you want to hear.
Posted by Kudzuslipper (Member # 31915) on :
Sorry to read this Ellen. I hope you get relief soon. This has been going on a long time.
Posted by beaches (Member # 38251) on :
So sorry to hear this. I am wondering if part of the tooth is still in your jaw.

Your story reminds me of a very painful experience I had when a dentist practically put his foot on my chair to steady himself as he tried to yank out my impacted molar.

He pulled and pulled for hours. I finally asked him to do an xray of my lower jaw. You'd think the brains behind the operation would have thought of that himself, but no.

The roots of the tooth were wrapped securely around the nerve in my jaw and no amount of pulling was going to get it out. If the extraction was a complete success, I'd likely have a numb lower jaw for life. Thank God for small favors.

Is the root part of your tooth still there? (if so, might be best to leave it alone)

And I know the dry socket pain is just excruciating. Can you seek another opinion?

Clindamycin is the go-to abx for dental infections. Just be sure to load up on the s. boulardi.

I hope you get answers and feel better soon.
Posted by Ellen101 (Member # 35432) on :
There is definitely no tooth left in. They did a few panorexes to look at things. Today I had a very frightening experience. I set put to drive to work and began suffering horrible vertigo. Fortunately I madte it to work, but the vertigo continued. I had a terrible fullness in my ear as well on the same side of the extraction.

I called my oral surgeons office for advice and they told me to come in to be seen. He seems to think the clindamycin may be to blame. I had just started it last night and took a pill shortly before leaving the house. He advised discontinuing it. This was a different oral surgeon than the one I saw yesterday. He feels it would be better to go without an antibiotic as he feels the main problem is still that some of the bone is exposed.

He repacked it and said if the vertigo continues to see my PCP or an ENT. I took some sudafed and that seemed to relieve the pressure in my ear. Hopefully tomorrow without adding in anymore clindamycin the vertigo will be gone.
Posted by Tammy N. (Member # 26835) on :
I imagine you are not with a biological dentist. But as I understand it, biological dentists are adamant about drilling around to be sure to collapse the socket so it can heal properly. Otherwise sometimes healing cannot be complete when part of the structure remains in place.....its as if the jaw does not fully realize the tooth is gone. (I hope I am explaining this well).

Perhaps a biological dentist may be more of a help to you at this time. So sorry for all of your troubles. I hope you can get it all resolved quickly.

Wishing you the best.

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