Hi Fsansi6,

Okay so the blood work was really not adequate and you truly cannot rely on the results of the finger prick to tell you anything. However, since you have been taking an antibiotic... even further blood testing at this time may come up with skewed results due to the medication. Keep in mind this does not mean there is no chronic or brewing infection or that the antibiotics is killing it off.

The ct scan needs to be done in slices and needs to include dental as well as sinus. Do not assume that this is the test that will be done.... please make it known this is what you need to have done. This is very important or the results will be as irrelevant as the finger prick blood test :/

Without a doubt based on vast research and evidence the root canaled teeth are not healthy. To what degree they are infected would not be known until they are removed and it would be great if they were biopsied and cultured. That is something you <should) could request that your oral surgeon do when he removes them. The results of those tests would not only confirm the teeth are diseased but they would tell what specific antibiotic should be used post operatively. So the bacterial issue residing inside of the teeth <and most likely beyond) is the first problem that needs to be acknowledged. The second issue which would truly only be icing on the cake could very well be that these teeth are fractured. Not an unusual thing for root canaled teeth... especially those that have had a dental post put in them. Thirdly, replacement options need to be discussed with your general dentist and the oral surgeon if you should be a candidate for dental implants. As a side note..... you should give dental implants a second thought if they are offered because again you are at a high risk of complications due to hte nature of the infection and the Prolia. So in summary a plan needs to be put in place so you know what to expect dentally as well as financially.

If your teeth problem has progressed to your sinuses and/or beyond then that needs to be confirmed as best as it can be. However, the extent of the bacteria may not be adequately visible until the oral surgeon removes the teeth and literally gets into those other areas. These issues are a very common occurrence and most often seen in cases regarding infected and/or root canaled teeth. If the sinuses are involved depending on the extent of the involvement the surgeon may or may not deal with that at that time. That is something you need to discuss with him ahead of time. In some extensive cases and ENT will also be present during the surgery and may need to perform additional treatment at that time. Keep in mind that no one is yet sure of the extent of your infection .... hopefully it has not yet spread too far. This is why I urge you to be aware that the teeth are a problem.

You are at an elevated risk for slow healing and post op complications due to the Prolia. Irrelevant of what your general dentist tells you about osteonecrosis, you are in the high risk category and no one can tell you how your jaw is going to heal after any oral surgery procedure. Your overall health, any medications that you take and your nutrition play a huge role in how you will heal.

It is best at this time to not get side tracked on things like referred pain .... TN pain .... post op complications ..... the maybes or what ifs. Focus on the origin of the problem which is the root canaled teeth. This will help you sort through the pages of this journey and keep you feeling more positive about the outcome.

You may have a healthy mouth aside from this quadrant. Or your dentistry may be very esthetic and gives the appearance of a healthy mouth. I'm hoping it's both of those things!!!