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Old 05-18-2015, 11:06 AM #16
Laughter222 Laughter222 is offline
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Join Date: Mar 2015
Posts: 16
10 yr Member
Laughter222 Laughter222 is offline
Junior Member
 
Join Date: Mar 2015
Posts: 16
10 yr Member
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Quote:
Originally Posted by Bryanna View Post
Hi Laughter,

Well this is not really a laughing matter.... :/

I re read your CT results and it is possible that you still have or have recurrent osteomyelitis and perhaps your body keeps making granular tissue because it is confused by the bacteria. New tissue and bone always form after an extraction but when there is bacteria that is irritating the new growth, the new tissue grows lumpy and actually prevents the bone from filling in. That's why it needs to be re surgerized.

This problem is most commonly seen when the extraction site was not debrided thoroughly at the time the tooth was removed. In some cases, the problem goes on for months, even years before it is diagnosed properly.

I must say, your CT scan was hugely helpful in that it gave a clear picture of what was going on. Sometimes the bacteria has really set up house and it can be difficult to eradicate completely. The only thing the surgeon can do is go in again and really clean the site out as best as he can.

I would suggest that you request a biopsy AND culture be taken at the time of this surgery. The biopsy determines the bacteria and cells that are present and the sensitivity culture determines what antibiotic is most appropriate. Truthfully, both of those things are imperative and should be done. So put away the chicken suit and put on the roaster.... !!

I am sorry that you are going through this. We could look back and say... what if the dentist did this or that and what if the initial follow up care had been better. But it won't make the problem go away and it just uses up valuable energy. So try to look forward to getting this taken care of and be (gently) assertive with what you expect to have done. I think this surgeon wants to help you and I feel he would welcome your taking the role of your own advocate.

Be sure to have a soft food diet planned ahead of time so you don't have to think about it when you don't feel like thinking about it

Hang in there... and keep us posted.
Bryanna
Hello Bryanna,

I hope that you had a great weekend.

Well, I had my one week follow-up appointment with the OS on Saturday. Neither the culture or biopsy results were available as of that morning, however the OS explained what he came across during the surgery.

He held up his thumb and forefinger. put less than an inch between the two and said that he removed a root nerve (I believe those were his words---he didn't say tip). He said that it caught him by surprise being that it wasn't visible on my
previous scans (right before the surgery he told me that his plan was to go in to remove a couple of bone fragments and a root tip).
Apparently it was right against the nerve; he said he was "looking right at the nerve" (which is when I started feeling clammy (lol).

He asked a number of other questions regarding pain and numbness, etc… Ever since the original extractions took place (mid-January), I've been having occasional tingly numbness from my left lower lip down to right before my chin area.
I explained to him on Saturday that I noticed a decrease in the tingly/numbness area since this most recent surgery. It's actually shrunk down by at least half, which is great news.

On the flip side, I am having pain/discomfort in my mouth. I realize that I am 9 days out from the last surgery, the healing process is going to take quite a while (like you had said), but there is not a moment that goes by that I don't notice
that there's an issue in my pie hole. The OS had mentioned that I've got a lot of scar tissue that's accumulated---and that each time he goes in there, more is created. When I look in the mirror, there is the area where my big honking' teeth once resided.
It kind of resembles a slot of sorts, running from the back of my existing bottom tooth to the back of my mouth. Then from there up into the side of my cheek is this wad of at least 6 "mini caverns" all which contribute to the painful area that never goes away.
The "lumps" that are formed bother me because they don't feel normal; plus anytime I disrupt them (yawn, try to take a bite, talk) they're really painful, ache, sting, hurt and even feel as if I'm pulling muscles….skin….or I don't know what else!

My question to you Bryanna, is will the above go away and become unnoticeable at some point? If so, great. If not, is there anything I can do to help lessen their overall impact? To be candid, my unspoken concern is that this jazz won't let up entirely and this
would then be my new normal. That would be absolutely impossible.

Side note: It took 3 weeks for new granulated tissue to surface following my second surgery. For that reason, he has me coming back in 3 weeks for another check-up, unless something else warrants an earlier appointment.

As always, Thank You!!!!! Laughter & Her Holey Pie Hole

P.S. I am looking forward to getting the biopsy & culture results ASAP.
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