Thank you for your reply.
Would osteomyelitis show up on an x-ray? The most recent ones she has had have been clear.
If it's not an x-ray, what tests would be able to give a more definitive answer?
Thanks again,
Mike
The first thought I have is that your mother may be suffering from osteomyelitis which is an infection in the bone marrow of the jaw. There many other explanations for her continued signs and symptoms.
It is difficult to say with any certainity and without a complete medical and surgical history and clinical examination. Certain medical conditions and medications may have contributed to her condition.
CT scans, bone scans, PET scans and MRI are all radiological tests which may help to identify the pathology. Each test has their own advantages and weakness. The surgeon should be able to prescribe the most appropriate depending on his/her impression.
I would have hope that someone would have obtained cultures and antibiotic sensitivity tests to determine what antibiotic should be prescribed. This information would be important to the surgeon.
Your "theory" of an infection would be the first on my list. More importantly is what exactly is causing the infection and specifically what anatomic area(s).
Don't give up and you should continue to be an advocate for your mother. I strongly suggest you accompany her to her appointments so you can question the Oral and Maxillofacial Surgeon directly. I would also suggest that you obtain copies of all treatment records and radiographs of your mother and bring them to the appointment with the surgeon.
Keep me posted.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
She continued taking painkillers on a daily basis, rinsing her mouth out with Listerine, Corsodol and Peroxyl. She would rub toothpaste on the area which would numb it.
In September 2008 she went to see a new dentist who dealt with “special cases”. He found a hole in her gum and a considerable amount of bacteria. She describes it that he pressed her gum and “yellow puss” came out. He also removed a spur and other debris from the wound and stitched it up.
Initially the pain subsided but over the course of the last eight months it has crept back. She usually has painkillers on a daily basis. She goes in peaks and troughs. One day she’ll manage to cope with the pain, it doesn’t interfere with her daily routine, other days it will floor her. Two days ago she had taken 10 strong pain killers which basically knocked her out. Yesterday she was in so much pain we had to visit the ER again. We saw a GP. He couldn’t answer anything with any certainty. He simply said he could prescribe an antibiotic (Augmentin) and strong painkillers. He suggested that we go back to the oral surgeon.
The difference now is that the pain is extending behind her right ear and up in to her right temple.
Questions…
Between us all we’ve got questions and I will be putting them to the oral surgeon when I next see him.
Do you have any theories as to why this pain will not subside?
Since the initial x-rays which showed the bacteria, all subsequent ones have been unremarkable. Is it possible for bacteria to exist in her gum / jaw and it not show up on an x-ray?
If so, would an MRI / CT Scan offer anything an x-ray couldn’t?
Can the jawbone itself carry an infection?
Do you think this could be nerve damage? It has been suggested, but owing to the “yellow puss” which was removed in September 2008, I’m still leaning towards the theory that there is still an infection in her gum.
What would you suggest as a next plan of action?
Thank you for any advice,
Mike
forum rules require you to post a new question
Thank you for your reply.
Would osteomyelitis show up on an x-ray? The most recent ones she has had have been clear.
If it's not an x-ray, what tests would be able to give a more definitive answer?
Thanks again,
Mike