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Dentistry & Dental Issues For support and discussion about dentistry and dental issues. |
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Grand Magnate
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Hi Laughter,
I am in the dental field and can offer you some information here. You obviously have had some post op complications following the extraction of both teeth which was attempted to be addressed. However, the initial attempt was unsuccessful and then the lag time until the second debridement was not ideal in that you had obviously developed further granulation tissue. The pain must have been awful! It sounds like this surgeon is awfully busy and may not be spending enough time with you and he really should be explaining the situation better. It is good that he did the biopsy, hopefully he took a specimen for a bacterial culture so that the proper antibiotic can be prescribed. It is normal for the site to be sore and tender for a few weeks post op. But the actual pain should be less after the 3rd day post op and continue to decrease thereafter. It is normal to have some facial bruising which will go away in a week or so. Make sure that the surgeon knows the full extent of the location, duration and type of pain you are experiencing. If it seems like he is not taking this too seriously, then perhaps it would be wise to seek an opinion from a different oral surgeon, one that is not associated with the treating surgeon. Regarding the clindamycin... it is a very powerful antibiotic. It may or may not be the proper antibiotic for this infection. So hopefully the surgeon had a culture done that will determine what antibiotics are best to treat the bacteria. Clindamycin is one of many antibiotics that has the potential to cause an intestinal infection called Clostridium Difficile or C.diff for short. This is a serious infection and can occur even weeks after you stop the drug. It is not a good idea to be on this for any long term unless it is absolutely necessary. Continue on the probiotic ideally indefinitely as you not only need to retain some healthy bacteria in your gut but you need to replenish what is being killed off by the meds. Just a note about your 6 month dental visit... if the surgical site of the two extractions was still open at that visit, the hygienist should not have cleaned your teeth. That is not something you would have known, but she should have known better. If that were the case, then the cleaning should have been postponed until the sites were closed. Regarding what the hygienist saw on an xray at your hygiene visit... it sounds like there is either a bony fragment that may have fractured off of the jaw bone during the extractions which means a piece of splintered bone is lodged in there ... and/or the image on the film could have been a piece of tooth that fractured off and was not removed. Either of those things can cause or contribute to improper healing of the extraction sites and infection. The oral surgeon should not have shrugged this off. He should have evaluated it further and spoke to you about it. The fact that he seem to dismiss it, concerns me because he knows the importance of being thorough with his oral surgery and if he left anything behind, he needs to inform you of that and be diligent in taking care of it. I think you are trying to be nice and go along with whatever is being done. However, I think it would be wise to be a little bit assertive with the oral surgeon and expect some answers about the delay in healing and question what that image was/is on that xray. It is imperative that the surgical sites be clean of all fragments of the teeth and diseased tissue including the periodontal ligaments and any visibly unhealthy bone. Ask him out right... if he did those things. Anything shy of doing those things is not acceptable and can further the infection. If the oral surgeon does not have that new xray... get a copy and bring it with you when you see him. Hope this information helps. Bryanna Quote:
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Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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