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Old 03-27-2008, 10:30 PM
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Bryanna Bryanna is offline
Grand Magnate
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Default dental surgery in MS patients

Hi Kami,

So sorry to hear that you had such a horrific experience with your last dental extractions. Osteomyelitis is an infection of the bone or bone marrow and it usually has traveled from another part of the body through the blood. This type of infection is frequently diagnosed via biopsy in root canaled teeth and the surrounding bone. Especially in long standing tooth infections. This is one major reason why I am so anti root canal! It is very hard to eradicate completely because it can spread to other areas.

Were you premedicated with an antibiotic before the surgery? Sometimes this can help in conjunction with the actual surgical debridement of the bone during the extraction as far as the healing is concerned.

Why was the donor bone removed from your hip? Were you given other synthetic replacement options or were you not a candidate for those types of bone grafts?

My suggestion to you is this....... it may behoove you to have an IV drip of vitamin C and glutathione immediately after the extraction. This is a major boost to the immune system to help with the healing. Not all oral surgeons or dentists will do this. Some patients go to their physician for the IV instead of having it in the dentists office. Perhaps you could get some guidance from the IAOMT organization. www.IAOMT.org

Please try not to panic. I know this is very scary. Here are a few websites that may be helpful.

http://www.drshankland.com/osteocavitation_lesions.html

http://www.docguide.com/news/content...25709000690E6B

http://www.cda-adc.ca/jcda/vol-66/issue-11/600.html

Please remain hopeful and keep us posted on how you are doing!!

Bryanna


Quote:
Originally Posted by kami View Post
Neuromess and Bryanna,

I usually lurk on the MS page, but have been visiting here off and on
with dental problems.

I had two molars pulled in Jan of 07,infection, possibly already infected, ended
me in surgery having osteomylitis cut out of my jaw. The surgery to replace
the missing bone with bone from my hip was even more traumatic.

Now another shattered molar on the other side is scheduled for early April
and I am not quite, but nearly at panic level. I should perhaps have them
all out, but infection is such a big issue, and I don't want to land back with
the IV antibiotics and Hyperbaric oxygen tanks.

I would consider implants if they were feasible for someone with my wonky
immune system. I have seen pictures in the dental offices and they honestly
make me cringe, but I am desperate.

I already have a partial on the top of my mouth, with my dry mouth and the
cut nerve in my jaw, eating in public is messy at best and mortifying the
rest of the time. I am also having some difficulty with talking intelligibly,
especially on the phone.

I so identify with you Neuromess, and hope that we can both see good
outcomes with our problems.

Thanks in advance, Bryanna.

kami
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