Originally Posted by Bryanna

Hi cleverwabbit,

Are you developing any sores or ulcerations in your mouth? Sometimes people are sensitive to peridex rinse and that could cause a burning sensation. If so, then just use salt water instead.

The ibuprofen and tylenol mix is meant to be used together so the tylenol may work in combination with the other. They are both hard on the liver and kidneys.... and stomach :/ So it's best to eat something when you take them.

The pain should not be increasing. It sounds like you are getting a bit run down which could be from the intestinal upset and/or the lack of nutrition and water. It is best to keep as hydrated as possible with water only. Of course the pain and pain meds make you feel awful too. You can also try applying moist heat (not hot, comfortably warm) on the outside of your jaw. Just wet a washcloth and put it in the microwave until it's warm and then apply it to your jaw covered with a hand towel.

I would call the surgeon tomorrow and go in and let him have a look. There is no way I can tell you if there is infection brewing or not. I can tell you that you've been through a lot... extraction, bone graft and dental implant on the other side.... that is a lot of trauma to your jaw muscles at one time. I would expect you to be uncomfortable for a couple of weeks or so. But the pain should not be increasing at the extraction site.

If you are having moderate gastrointestinal problems, it is best to call the surgeon and tell them as they may change the antibiotic. Clindamycin can have some long term affects on the system even after you are finished with the prescription. Also, sometimes it is advantageous to take a combination of pre and probiotics.... a pre biotic called Saccharomyces Bourlardii works synergistic-ally in the digestive tract to help metabolize the probiotic. The pre and pro can be can be taken together.... but about 2 hours before or after the antibiotic.
Here is a link for that:


I hope you get relief soon. Please keep us posted....
Bryanna



QUOTE=cleverwabbit;970759]Thank you so much for your reply, the DDS is an implant specialist who has oral surgery training. I was given periorx to rinse with 3x a day for a week. I have been trying to limit the ibuprofen was told to piggy back it with Tylenol but I haven't because Tylenol has never worked for me and it is hard on the liver. Today I am having quite a bit of pain, it isn't subsiding I am trying to keep the 600 ibuprofen at 8 hours or more apart. My fear is that he is going to put me on another antibiotic or up the clindamycin which has been hard on my system and even with probiotics I have had a lot of gastrointestinal unpleasantness, despite my bland,soft diet.
I am scared something is wrong, I had an implant done on the opposite side at the same time and it is healing great, I can't even feel it. What is the usual protocol if the antibiotics aren't working? How do know if there is even an infection that is causing the pain? The burning is happening even when I don't use my mouth.
Thanks so so much for your help, I am losing my patience and very anxious about this.