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» LymeNet Flash » Questions and Discussion » Medical Questions » Dental Question: Any Input needed within4 days

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Author Topic: Dental Question: Any Input needed within4 days
DiffyQue
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Hi All,

Cracked tooth a while back which became infected. Cephalexin reduced infection. Had to delay treatment(too long), so reinfection occured this past 2 weeks, and for which amoxil prescribed X 1 week; waited too long to get extraction due to retaliative tactics by hmo dentist and physician.
Past 3 days massive infection under face, rt. side, and under top of lip and nose; sl.
slight temp.; face warm; ears warm.

At dentist today. Have prescription of clindamycin X 150mg which I'll start as soon as leave this board.

Questions:

Early on in lyme infection, c. 1999, physician mentioned "murmer" and "mitral valve prolapse"(MVP). However, I don't recall having seeing this in a cp. of his record. So, presuming MVP, what, if anything, is the "business" with clindamycin and MVP?
I have pkge. insert off bottle, and will read.

Never had clindamycin before, nor lincomycin, so I don't know what to expect.
Literature of past reads "nasty."

What is your experiene with clindamycin, given that you have lyme?

Since this is new, I expect a Jar.-Herxheimer reaction(reaction to Bb die-off, and die-off of any other TBDs, etc. that it kills).

In case of allergic reaction,and so I would need another ABX,what substitutes for clindamycin in dentistry, given massive infection of tooth?

What can I reasonably demand?

If I.M. abx needed, I have a relative, licensed to give it. What I.M. abx indicated, in a dental situation?

What if any, penicillins, cephalosporins(other than cephalexin) are indicated in this situation.

You are hereby relived of any and all responsibility for any and all statements made.

Despite comprehensive, exhaustively detailed documentation of neurological lyme disease, inclu. photos, I continue to experience extreme indifference, hostility, and retaliative conduct of current PCP, and primary care dentist; this impells me to post this.

Thanks for your input, and I wish all a happy Thanksgiving.

Dq

[This message has been edited by DiffyQue (edited 07 December 2004).]


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docdave130
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clindamycin is standard of care abx for tooth infection.
from your symptoms your tooth is an upper toothe probable first bicupid.
the oral surgeon need to do an I&D asap of you will get infection into the brain. there is no barrier preventing upper front ttoth infection to passing right to the brain.Swelling under eye is defintitely no good and you must go to the oral surgeon tommorow or firday. if your eye closes you must go the the emercency room for iv abx asap.Mid face infections are the most dangerous dental infections and must be treated EVEN TONIGHT if possible.
the swelling is so large now that abx will do nothing for the infection , there is just too much there so the fluid has to be drained so it doesn't spread the other lymph spaces.

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GiGi
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We had, as most patients, Cipro, after oral surgeries. I do not recall which abx before and during. Called my surgeon, but they are closed now due to Holiday. I remember having plenty of clindamycin on and off for Lyme with no ill effects, even though I still had a very poor condition/infections in mouth/jawbone before oral surgeries.

I would also say - get moving on this quickly. There is no time for politics now.

Good luck to you, dq.


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DiffyQue
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Doc Dave and GiGi,

Thank your for your input. gittin on this now.

Clindamycin working. Infection slowly going down; facial swelling 95% down.
Felt it in my temples.

Taking multi-enzymes concurrently, and in-between meals to help cleave and clear pus, and process to lymph nodes.

Making appointment today/tommorow.

Given this type of infection,and, givne lyme, should I demand i.v. abx, or i.m., and if so what are the standard abx? What are the ideal i.v., i.m. abx for this? O.K. clindamycin, is one. Any others?
Thus far,no problem with clindamycin.


Dq


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Lymetoo
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Hi Diffy! I took tons of clindamycin [with quinine] for babesia. So presumably, you don't have babesia? At least you're not herxing [yet].

I know nothing else on this, so hope someone comes along to advise you. Glad things are getting better.

------------------
oops!
Lymetutu


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bg
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DQ,

Here is Natl. Institute of Health's medlineplus.org site .. very user friendly: has a-z illnesses, meds, medical dictionary, etc.

This is on the med you have prescription for.
http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202145.html

I had a cracked tooth that gave me problems; I had it removed & glad I did!

Best wishes on getting rid of your infection completely.

Make sure dentist has a list of ALL your meds including OTC. Betty G., Iowa


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docdave130
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dq just continue to abx for ten days even after the surgery, no additional abx needed, no iv, no im nothing but the clinamycin 150.
iboprofen for pain is ok not aspirin for extraction.

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DiffyQue
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Thanks All for your input,

Gotta go! Posting from someone's computer,
so I can't get to respond soon after posts.

Hope your Thanksgiving went as well as hoped, given lyme.

Dq


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DiffyQue
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Hi All,

Recovering from tooth extraction, a 'canine' tooth. Shan't be chasing "hub caps on motor vehicles, anymore."

Thanks Again, for your input.

Dq

[This message has been edited by DiffyQue (edited 07 December 2004).]


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