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extraction problems
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extraction problems

In Oct,2006 I had to have an extraction of my lower left 1st molar I had a root canal done on this tooth 21 years before and it had a crown on it. I went for a cleaning appt , when they did x-rays the tooth deteriated in the gumline and bone .An oral surgeon extracted the tooth and did a bone graph due to bone loss. I was never givien antibiotics. After a wk I still had swelling in my face and the site was oozing pus. It was the weekend I had antibiotics of my husbands (enough for 3 days)I was sure this was an infection.I made an appt w/the oral surgeon . My jaw felt dislocated I couldnt chew and could barely open my mouth.The oral srgeon said it was tmj and that when a tooth is extracted sometimes there is inflamation (inflammation) in the  joint he compared it to a disk in a back . I was told to use warm moist heat and given muscle relaxers. I went back in 2 weeks, my jaw opening was a little better but I still felt as though something wasnt right. I  have had intermittent issues with numb/tingling from chin up to ear , watery eye and nasal running on this left side only , headaches so intense they made me cry at times. After a year it was discovered I had retained root tips and a whole root.They were removed, A month after removal of roots I developed a painful, bleeding sore on the gumline just about an inch back from the extraction site . My dentist said it is an infection, gave me penicillan .Is it possible I have a chronic bone infection from the original extraction?
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Avatar_dr_m_tn
I would be interested in the nature of the infection and where it was eminating from. Is it related to the gum or is it related to the the extraction site? It does not sound like you have a chronic bone infection. I would consult the oral surgeon or get a second opinion.
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Avatar_m_tn
I actually did consult another oral surgeon for a second opinion just a week ago. He was a  bit surprised that it had taken a whole year to discover the retained root and two tips and he wanted to know why it took so long . I have no answer . He said that I may have some slight nerve damage but because my symptoms are intermittent he is hopeful that it will heal in time. He said that I have to go through the healing process all over again. He also said that since the root and tips were removed the source of infection was gone. He said I had some sclerosis/scarring of the muscle in my jaw from  the trauma and gave me excersises to do  and said  to use warm moist heat to relax the muscle and massage it .He had pressed around in my mouth found some tender areas near the back of my jaw ,In fact the sore that erupted was near the spot he was pressing on . It is near the gumline where my my wisom tooth use to be and extends to the gumline of the 2nd molar . It was also swollen onto the crease that attaches the cheek . My dentist thought possibly the manipulation of massaging had possibly brought some sort of infection to the surface. I just know that I have had other teeth pulled and never had an issue more than a dry socket. Since this extraction , I  have had the infection in the site itself  then 2 weeks later my jaw is locked up , my bite was off for so long and I was constantly biting my cheek and my tongue. Then about 6 weeks post extraction I ended up in the er at a local hospital with lower back pain , my pelvis was dislocated from an inflamation (inflammation) of my sacroilliac joint , my primary care doctor questioned if this was related in fact . I also suddenly developed episodes of raynauds . I have had  three incidents of the raynauds since the extraction. The last one was recently  and was the nite before the sore erupted in my mouth .My primary care doctor doesnt know if its all relted , he just said that in 9 years of him being my doctor my history does not include any of this until the tooth was extracted. I was always farely healthy . I might have gotten a cold once a year . Now I am miserable all the time .I just want someone to tell me what is wrong and  tell me what to do about it . I hope you can understand my frustration. I have an appointment with the oral surgeon again tomorrow to evaluate this infection and hopefully I will get some answers. Thank you !
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Avatar_m_tn
I saw the oral surgeon he said that when my tooth was extracted or even when the roots where extracted it is possible some sort of debris food or something got into the opening . He said that the massage and heat application caused it to surface . When he was poking around in my mouth last week there was apparently a lump , like a marble in that area . Since it has ruptured the swelling is down and there is no longer a lump there . The oral surgeon feels this will be the last of the infection. I  am still on penicillan for a few more days . I was told give it about 10 days see what happens. He looked over my panorex that he had taken last week, he didnt see anything that would be related to adjacent teeth, however I was told that if this happens again then he wants me to see an endontist to have a pulp test done on the tooth in front of and the one behind my original extraction.He said he doesnt feel that they will find anything but he wants it ruled out. If in fact I do end up with another episode like the last one and an endodontist finds nothing then I am to make another appointment with him and he said he will have to reopen the extraction site and see what is there . I still feel I am not being told something or even being told everything. Is it normal for this to happen?a full retained root with 2 tips found a year later? an infection realted to an extraction a year before? would that have caused all the facial symptoms I was having?and how beneficial was that bone graft that was done at the time of extraction since the area was apparently not cleared or cleaned  out completely( retained root and tips )?I have had other extractions and never had this problem before.I even thought In the beginning maybe I was having an allergy to the bone graft, since this  was new for me and I had never had one before.
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Jerome Tsang, DDSBlank
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