First of all I want to thank you all for all your posts. I've read a lot prior to signing up and it's been very helpful.

I have A LOT if anxiety about my partners healthcare. I'm not sure why but I do.

Recently he had his 4 impacted wisdom teeth extracted (just like I had in the past) and it's been incredibly challenging for me. I did a lot of reading in preparation and we did everything we could but there were still complications.

The first week I was up every night first with anxiety and then with anxiety + his pain. He had them extracted on a Tuesday under deep sedation (just like me) no antibiotics were given just regular Tylenol and ibuprofen 600mg. Things were ok but like I said we kept waking up in the night with severe pain and I told him to go in Friday to make sure things were ok but he didn't of course. What can I do... I work.

Saturday was unbearable there was some yellow discard but no fever just pain and of course it was in the evening by the time the walkins were closed. The dentist hadn't returned my call we want to one of the emerges and were given clindamycin 7days and Tylenol 3s. Things got better but we were again up in te night.

I didn't go to work on Monday, hadn't slept. We went to the dentist got some dry socket packing. He wasn't happy that my partner was on T3s or on the heavy duty antibiotics. He recommended only 5 days of antibiotics and to try to work off the T3s I think he's very conservative with medicine which is ok. He felt the yellow discharge was mostly dry socket not an infection at all. He gave my partner a weeks follow up appointment.

A day later my partner felt. Bony protrusion that was sharp in the upper right. I said it was probably a bone splinter but he should call the dentist. He did this time and the dentist looked said everything was great and sent him home.

A day after that my partner accidently spat out the lower right packing but said there wasn't any increased pain. Again he showed initiative to call the dentist and the dentist said if there was no pain it's fine he would see him next Tuesday to take out the lower left packing.

Today is Saturday Andy partner says there's pain when he moved his mouth a certain way. He's not sure if this is new or always there. It's a stabbing pain that goes about 8 on a 1-10 scale but only under his right eye and only when he moves his mouth a certain way to the left. Other than this movement it seems the pain isn't too bad. He mostly takes ibuprofen 400mg thèse days and at some points nothing.

Should I be concerned? What is this? I'm so tired f all the anxiety this had caused us I'm on anti anxiety meds so I csn sleep at night I worry about him so much. We can't see the detest until Tuesday but I have to work I'm the only one working since my partner doesn't have a Job yet were young. What could this be? Should we do another round of antibiotixs? But alread I'm so scared of the clinda that I make him take probiotics every single day and lots of water...

Please help a very very anxious spouse. Thank you and I'm so sorry for this.

Hi,


He is going to be o.k.

Make sure he sees the dentist on Tuesday.
Let him take a cab or bus or get someone to drive him.
The most important think is that he stay in very close contact with the dentist (and other care givers).

Mari

Hi Bottledspirit,

Please do not apologize for coming here with your concerns. Andy is lucky to have such a caring partner in his life

Impacted wisdom teeth can often end up with some complications. So that is not unusual. Sometimes all four act up... sometimes one or two... it just varies. But rest assure that this problem will eventually go away and he will be okay.

Let's talk about the yellow discharge, dry socket and infection. Yellow or white colored discharge from an extraction site indicates bacteria or infection. The term dry socket means an inflammatory infection of the bone and tissue called alveolar osteitis. This occurs when the blood clot that was protecting and keeping the bone moist had become dislodged or had not formed at all. It is very painful and needs to be treated. The dry socket paste or medicinally impregnated gauze that is packed into the socket needs to be changed every day or two for about a week. Sometimes one or two treatments will do the trick... other times it takes several. Depends on the individual case.

Regarding the sharp bony protrusion on the upper right.... this also is commonly seen. Sometimes it is a small fragment of bone like a splinter that will come out on it's own or becomes a nuisance and is easily removed by the dentist. Other times the protrusion is actually a fractured piece of the bony ridge and it can either come together as new bone fills in or it can end up being an over growth of bone. So unless this area is very painful and interfering with eating or speaking, etc... it is common to take a wait and see approach when someone complains early on about a bony protrusion. If it is still present or bothersome a few weeks out then something may be done about it.

Regarding the pain when Andy moves his jaw a certain way. Tell him to stop moving it that particular way No really. That could be due to a muscular issue like a spasm in the masseter muscle or TMJ area and he needs to not aggravate it. This is common after wisdom tooth extractions as the mouth has to be opened very wide to gain access to the teeth and there is a lot of force put on the lower jaw when removing those third molars. Often this pain does not show itself until a few to several days later.

This pain could also indicate inflammation in that lower right socket. So he needs to get into the oral surgeon on tuesday without fail.

ALSO.... he should keep taking the probiotics every single day even after he is done with the clindamycin... for at least 3 months .. longer would be even better. It takes months to replenish healthy bacteria in the gut after antibiotics and it is not uncommon for people to develop intestinal issues weeks or months after taking antibiotics because they stopped the probiotics too soon.

I hope this information is helpful to you. Try not to feel so anxious..... he will be okay... just keep encouraging him to take care of himself :>

Thanks for the replies. I get really anxious about this stuff and can't sleep.

He has the car most days since I hate parking downtown for work I just bus it. Tuesday is not a problem for him.

Infection
Yea the yellow discharge concerned me as an infection that's why I pushed for te antibiotics at emerge but the dentist feels without a fever it's unlikely or at least in his practice it's uncommon to not be accompanied by fever. That's why he cut down the clinda to 5 days. He felt that sometimes the yellow comes will dry socket... My partner says today that there wa only a bad taste in the morning and there's only ever yellow in the morning. He's done th clindamycin and yes I'll be continuing to purchase the probiotics for months to come. Were young but I won't chance any of the terrible stuff I read.

Dry socket
I was confuse because he was given packing then told to come back in a week which is contrary to anything I've read that said usually it's multiple trips a week. Maybe it's a different type of packing. The dentist also seems to think he won't be re packing it Tuesday... That would be nice.

Pain
Pain continues to be minimal I think tonight he's going to sleep taking nothing maybe 200mg ibuprofen if he feels.

Bony protrusion/eye pain
He feels the pain when he moves it that way and thinks it's actually from the protrusion hitting into his top gums or something. I'll tell him not to do it.

I really wish I could go with him Tuesday but he's used all our dental coverage and we had to pay $1k with only me working I can't miss more work days.... I'm feeling better now about it though thank you for your replies.

If there's anything else I should watch for please tell me.

I should also say we live far from any family or friends. I guess this is also why it's tough on me. His family is 1 day drive away mine is 2. So we do not have any other support just eachother. A hard things!

Hi Bottledspirit,

I understand your getting anxious about things like this. I am the same way when a family member has a problem!

Just so you are aware....

You do not have to have a fever to have an infection. By the time the fever develops the infection has become more severe.

If there is a yellow colored sticky liquid coming from the socket, that is indicative of pus. If the yellow is not liquid then it could be food debris in the socket.

The dry socket packing that is placed in the socket is like putting a medicated band-ade over a wound. It has to be changed and reapplied in order for it to be effective. In the mouth it is not wise to keep that packing in the socket too long because it can actually impede the healing. It is usually changed every one to two days depending on the severity of the dry socket. So maybe he will be healing better by tomorrow and will not need to have it repacked!

Andy needs to tell the surgeon about the pain in his mouth from the bony protrusion and the referred pain that is getting in his ear, eye, jaw.....

I think that about covers it. Let us know how it goes at the surgeons tomorrow!

He went to the dentist today.

What was related to me: it's healing well, he took the packing out of the lower left (lower right had already fallen out last week), there was no new packing up in place. The dentist took a look at the bone potrusion said it was fine and would heal up in a couple weeks. My partner asked about pain when eating on the right side (he only mentioned this to me yesterday) dentist sai it was normal. My partner did not ask about the right eye pain since he said it had stopped doing that. No follow up appointment was booked, dentist said call if there's concerns.

He has been off all pain meds for about 24hrs since the pain is so minimal/nonexistent so I gess things are going well.

It's really hard when it comes to this stuff because you can only trust in your dentist but they are all so different. Ours is very nice but seems incredibly conservative with medicine. Like I said he didn't want my parter on the antibiotics or the Tylenol with codeine an he also left medicated packing in the socket for a week without replacing. Overall the care was fine I just wish there was a bit more education before hand.

I feel I did the rght thing asking for antibiotics. We both truly believe it was a minor infection. True he may have fought that off on his own over time but we could have risked further complications too. However I DO NOT like that clindamycin was prescribed. The dentist even asked if it was due to a Cillin allergy, I said no. From what I read clindamycin is highly effective but so effective that it is harmful... It really scares me. I wish we ha known more or that the dr hadn't handed it out like candy.

He has been lucky so far. The first day on it he had stomach pains pretty bad but it could have been any of the meds he was on. That night there was a scare where he said his throat felt tight. I actually called the health line that night but then he told me it had felt that way prior to taking clindamycin... The days following he had no symptoms at all but thanks to you here I had him on probiotics from the start.

I guess one last question... I see all doom an gloom on the Internet about clindamycin but surely there's some success cases? Certainly they're not merely prescribing something like poison for a slight infection? What are the odds that a 23yr old male who took clindamycin 900g daily for 5 days along with centrelle and probiotic yogurt would develop complications from this?

I hate that this was given to us I think omoxicillin could have done the job for something minor (the dentist would have preferred this) but all we can do is move forward, take preventative measures, and know what signs to look for.

Sorry the probiotic is Culturelle I drew a blank on the name and made something up. I don't know how long I can convince him to take it for bu I want to attempt at least 3 months. He loves yogurt so if I keep getting the little 300+ portion it's shakes for him he'll drink those no problem.

Hi Bottledspirit,

Glad to hear his extraction sites are doing well and he no longer has any pain.

Regarding the clindamycin.... there is no way to know if he will have an onset of intestinal upset from this medication or not. The BEST thing he can do is eat nutritiously and take the probiotic every single. The longer he stays on it the better. Ideally people should be supplementing with a probiotic every day of their lives to maintain a healthy intestinal flora. I've been taking probiotics daily for over 20+ years

Pre made yogurt is a highly processed food and most often contains some form of sweetener (including those with added fruit in them). Sweeteners, all forms of it, actually kill good bacteria and feed bad bacteria. Pre made yogurt also contains very little if any live bacteria by the time it is purchased because the bacterias are sensitive to change in temperature and processed foods going through various temperature changes before they even hit the supermarket shelves. The best yogurt with real nutritional value is when you make it yourself. That is why it's usually easiest to just take the probiotic supplement if you don't have time to make the yogurt.

Thanks Bryanna for everything.

If nutritious = pizza then he'll be just fine lol since that's his preferred diet unless I intervene.

Well we will figure it out and hopefully nothing bad will come. I do have the Culturelle like I said but he's more likely to take it if I get him yogurt too. I don't know where to find the Stonyfield yogurt so we just have the Danone shakes that he said he's had in the past. With tight money I know eventually he's going to say we can't afford it but I'd rather buy it and have him be healthy.

Thanks again everyone and if anyone does have a Clindamycin story that is not completely doom and gloom I would still really appreciate if you'd post it.

Take care.