Aa
nervous daughter
Mom has a tooth infection that spread to her bones and now is on IV antibiotics for 6 weeks at home we have to clean the injection site with a saline seringe then give the antibiotic drip for 1 hour and then flush again with saline then give Heprin all thought pic line that was sewn into her arm. This was my second day of training with a nurse who came to the house. I am very nervous and want to give my mother the best care and I will, but I want to know just how serious this can be she has a week heart and is 78 years old I have to get her to the dentist this week i am told. How long will it take for the infection to clear before she can have her teeth extracted i keep getting different answers and what are the effects of being on a antibiotic drip for 6 weeks, and I really don't want her arm to get infected from that pic line. I hope I am spelling that correctly. Thanks
MEDICAL PROFESSIONAL
Thats great. Its always good to get a second opinion. Some doctors forget that financials are an important aspect of patient care. Its always wonderful to be able to do every single treatment in the book for a patient that needs it but sometimes it just can't be done. I always tell my patients I will recommend the most ideal and comprehensive treatment and we can discuss finances later. I would never want to assume a patient can't afford the best treatment and allow that to influence my recommendations. Its important to work with patients to improve their whole life, not just the mouth.
Best wishes.
Best wishes.
MEDICAL PROFESSIONAL
It sounds like they did an immediate denture set in which they remove the teeth and deliver the dentures immediately the day of the extractions.
Generally the healing time is approximately a week or two. It gradually gets better as time goes on. The bone of the jaw will remodel over the next few months and these dentures will gradually loosen over time and need to be relined.
Do your gums hurt when you push down on them, like a sharp stabbing pain. It may be that the jaw bone is sharp underneath where the extractions have taken place and you may need some minor surgery to open those problem areas up and smoothen the bone underneath.
The adjustments will help with the fitting and sometimes with sore spots that are created due to extra pressure on certain areas or sharp spots that are poking you.
Generally the healing time is approximately a week or two. It gradually gets better as time goes on. The bone of the jaw will remodel over the next few months and these dentures will gradually loosen over time and need to be relined.
Do your gums hurt when you push down on them, like a sharp stabbing pain. It may be that the jaw bone is sharp underneath where the extractions have taken place and you may need some minor surgery to open those problem areas up and smoothen the bone underneath.
The adjustments will help with the fitting and sometimes with sore spots that are created due to extra pressure on certain areas or sharp spots that are poking you.
MEDICAL PROFESSIONAL
6 weeks of antibiotics sounds like an awfully long time. Normally we only do a 10 day course at most unless there's some major concern with your mom's health such as immune deficiency.
Let me know the names of the antibiotics. Maybe its a lose dose doxycycline to control her periodontal disease and isn't related to the actual abscess but rather as prevention to control a chronic low grade infection.
Let me know the names of the antibiotics. Maybe its a lose dose doxycycline to control her periodontal disease and isn't related to the actual abscess but rather as prevention to control a chronic low grade infection.
Thank you for answering my question Dr Tsang.
My mother went to the ER on a Monday eve, and was then admitted to the hospital until Friday, that;s when they put in the pic line and started her first day of antibiotics she was released that day and told to see a dentist right away to have the teeth removed. They were giving her penicillin tablets before she had the MRI to confirm that the infection had gone into the bone. I took her a couple of days ago and the dentist said she has to remove about 8 teeth removed and then she should be able to come off the antibiotics, but the doctor say's no she has to stay on for about 6 weeks. I guess it's like you say it depends on the antibiotics I will get back to you with the name of them. Thanks again for your advice. It does help!
My mother went to the ER on a Monday eve, and was then admitted to the hospital until Friday, that;s when they put in the pic line and started her first day of antibiotics she was released that day and told to see a dentist right away to have the teeth removed. They were giving her penicillin tablets before she had the MRI to confirm that the infection had gone into the bone. I took her a couple of days ago and the dentist said she has to remove about 8 teeth removed and then she should be able to come off the antibiotics, but the doctor say's no she has to stay on for about 6 weeks. I guess it's like you say it depends on the antibiotics I will get back to you with the name of them. Thanks again for your advice. It does help!
MEDICAL PROFESSIONAL
I'm surprised that they didn't remove the tooth initially to begin with.
Who prescribed the IV antibiotic line and gave instructions on the home care? It doesn't sound like you went to a dentist initially for treatment or evaluation. Did you go to the ER first? Usually they do start an IV line for antibiotics the day of the visit but normally prescribe oral antibiotics afterwards with a referral for extractions with a dentist.
Its unclear how long it'll take the infection to clear but normally about a week of antibiotics should do the trick. It depends on the antibiotics given as each works as a different pace but within 3 days, she should start feeling alot better and the infection should be relatively contained. The removal of her teeth are necessary to prevent a recurrence of the infection.
Who prescribed the IV antibiotic line and gave instructions on the home care? It doesn't sound like you went to a dentist initially for treatment or evaluation. Did you go to the ER first? Usually they do start an IV line for antibiotics the day of the visit but normally prescribe oral antibiotics afterwards with a referral for extractions with a dentist.
Its unclear how long it'll take the infection to clear but normally about a week of antibiotics should do the trick. It depends on the antibiotics given as each works as a different pace but within 3 days, she should start feeling alot better and the infection should be relatively contained. The removal of her teeth are necessary to prevent a recurrence of the infection.
Dr. Tsang, I think we found a dentist he saw my mom yesterday and is willing to work on her he say's she really did not need all the work the previous dentist told us she did like cutting open the gums from the back of the mouth to the gums in the front of the mouth and scaling the teeth on the top left side of the mouth, and the bone graph but she will need dentures or implants after they take the bottom front four teeth out along with the other 5 teeth that have to go. I am feeling better now. I Thank you for your advise.
MEDICAL PROFESSIONAL
You may want to contact your local dental society to see if there is any oral surgeons who may do pro-bono work.
I don't like to comment on price normally but what does the $25,000 of treatment include besides the extractions?
As for the antibiotics, its basically penicillin with a little something extra to prevent bacteria from breaking it down.
I don't like to comment on price normally but what does the $25,000 of treatment include besides the extractions?
As for the antibiotics, its basically penicillin with a little something extra to prevent bacteria from breaking it down.
Hi It's ND I forgot to include the name of the Antibiotics.
Ertapenem-Invanz 1000.00mg Nacl 0.9% 100.00ml.
Ertapenem-Invanz 1000.00mg Nacl 0.9% 100.00ml.
Dr. Tsang, It is I nervous Daughter, You can call me ND for short. We have run into a snag with my moms Dental problem, My mom does not have dental insurance and her medical insurance say's they will cover it, but we do not have the money upfront to pay to have the work done. We went to a dentist and the cost is very extreme and the full amount is do upfront. My mom does not have the money and nor do I as I have recently been laid off. I am on a mission to find an oral surgeon that I can trust to do the work she needs and understands the severity of the problem but I can't find anyone to help. I am becoming more frustrated and nervous as I am told by the oral surgeon that this is life threatining and needs to be taken care of immediatly. We tried filling out credit applications but were turned down the cost is $25.000 and I don't have any idea what to do now. Do you know any Oral Surgeons tops in there field, in Los Angeles, California that would be willing to do the work Pro Bono, or do the work and submit to the insurance afterwards? I am very worried. Thank you.
Hi this is tdhope and I realized I misspoke a few times in my previous post. It was my third visit when I saw the new dentist. Sorry. Thank you again.
tdhope
tdhope
Dear Dr. Tsang,
I had all my teeth removed recently due to chronic infection, decay in which they said was partially caused by severe dry mouth. I am relatively young still in my forties. Any way I wrote to the other consumer board, I think.
I am having a very hard time healing. The extractions were about 3 weeks ago now and while my dentures were beautiful and at first they fit great (for about 2 days) I began then to be swallowed up with pain. Blister like areas began forming with also horrible looking white patches and swelling...but the worst is the chronic pain....like sharp bone pain. Anyway in about a week I went back to the dentist and learned some of the stitches had come out. He resowed me up(after extensively cleaning up my gums gently) I was put on Keflex with one refill and give some vicodin for pain. Well another week went by and I didn't feel any better and couldn't really wear the dentures ( I did occasionally put in the upper ones though in extreme pain when I had to go out with my young son because he was embarrassed) But as soon as able they came out. Oh I forgot to mention the dentist did adjust part of the upper denture at the second visit. It helped a little but not much. At my second visit I saw a new dentist and felt uncomfortable with her because she didn't know much of course about my history. (My ususal dentist wasn't in.) She basically said I had been doing everything I was supposed to do and she couldn't do much but grind down again some of the upper denture and that usually you have weekly relines but to wait awhile to wear the dentures to allow for more healing time. I had another refill on the antibioitic and she said to go ahead and take that. I should not call them unless I had concerns that my final relining was on hold until I healed more....
Basically is that all they can do? Could something be causing my delayed healing? I do my basic rinses and take the antibiotic and ibuprofen but I can't eat...only consume liquids and my gums are swollen red or white and blistering (with a bloody or watery filling)
Sorry for this long post but do you have any other suggestions, especially about the severe pain (which is making me very irritable) and my slow healing. I'll do anything needed. Thank you so much.
Sincerely yours,
tdhope
I had all my teeth removed recently due to chronic infection, decay in which they said was partially caused by severe dry mouth. I am relatively young still in my forties. Any way I wrote to the other consumer board, I think.
I am having a very hard time healing. The extractions were about 3 weeks ago now and while my dentures were beautiful and at first they fit great (for about 2 days) I began then to be swallowed up with pain. Blister like areas began forming with also horrible looking white patches and swelling...but the worst is the chronic pain....like sharp bone pain. Anyway in about a week I went back to the dentist and learned some of the stitches had come out. He resowed me up(after extensively cleaning up my gums gently) I was put on Keflex with one refill and give some vicodin for pain. Well another week went by and I didn't feel any better and couldn't really wear the dentures ( I did occasionally put in the upper ones though in extreme pain when I had to go out with my young son because he was embarrassed) But as soon as able they came out. Oh I forgot to mention the dentist did adjust part of the upper denture at the second visit. It helped a little but not much. At my second visit I saw a new dentist and felt uncomfortable with her because she didn't know much of course about my history. (My ususal dentist wasn't in.) She basically said I had been doing everything I was supposed to do and she couldn't do much but grind down again some of the upper denture and that usually you have weekly relines but to wait awhile to wear the dentures to allow for more healing time. I had another refill on the antibioitic and she said to go ahead and take that. I should not call them unless I had concerns that my final relining was on hold until I healed more....
Basically is that all they can do? Could something be causing my delayed healing? I do my basic rinses and take the antibiotic and ibuprofen but I can't eat...only consume liquids and my gums are swollen red or white and blistering (with a bloody or watery filling)
Sorry for this long post but do you have any other suggestions, especially about the severe pain (which is making me very irritable) and my slow healing. I'll do anything needed. Thank you so much.
Sincerely yours,
tdhope
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