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Dentistry & Dental Issues For support and discussion about dentistry and dental issues. |
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01-10-2016, 10:07 PM | #1 | ||
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Junior Member
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Hi Bryanna,
Do you remember me? I had posted and you answered a couple of months ago after I had teeth #14 and 15 removed that were infected and in my sinus. Believe it or not, I still have a sinus infection! I went off the Bioxin and it came back full force. I went to the doctor and he did a nasal swab which came back with a Pseudomonas Aeruginosa infection. It gave a list of antibiotics and all of them were IV except Levaquin. So I am now going on week 3 of Levaquin and also I am now doing a Tobramycin wash in my sinuses twice a day. This is the 3rd day and it seems a little better. I still have some pain and a lump on my neck that goes up and down on the side of the tooth extraction. But my question is could that bacteria have been caused from the infected teeth? My ENT says absolutely not, but I really question how much he knows about this bacteria because he said bacterim in my nasal wash would wipe it out and everything I have read says it is for MRSA. Tobramycin was on the list so I begged for that. But I have read that an infected tooth can cause different bacterias in your sinus and Pseudomonas was one listed. Or could it be the other way around, the teeth both had root canals. Could the Pseudomonas have caused them to flare up? I am living in a nightmare right now! I just want to be normal again! Thank you for all your help. |
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01-10-2016, 11:45 PM | #2 | |||
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Grand Magnate
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Hi Angels,
Yes, I remember you and I am sorry to hear that you are still dealing with this infection! All physicians and dentists know that oral infections of any area of the mouth, teeth, gums and jawbone have the potential of becoming systemic. ENT doctors frequently collaborate with oral surgeons to treat people who have sinus infections from their infected teeth. So why this ENT is not admitting the probability of this in your case is puzzling to me. Why did you choose Levaquin oral over the IV antibiotics? Did your doctor (dentist of physician?) discuss the pros and cons about each administration route of medication? 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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01-11-2016, 01:15 AM | #3 | ||
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Junior Member
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The ENT said that Pseudomonas definitely was not caused from a tooth infection. Do you think it can be? The IV antibiotics have some nasty side effects such as hearing loss and kidney problems. They told me Levaquin is strong and will knock out most sinus infections. I am doing the Tobramycin nasal wash though. That is an IV antibiotic. |
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01-11-2016, 01:54 PM | #4 | ||
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Junior Member
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01-11-2016, 01:55 PM | #5 | ||
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01-13-2016, 10:58 AM | #6 | |||
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Grand Magnate
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Angels,
I glanced back at your original posts about this dental problem and the longevity of the ongoing sinus and tooth problem stems back at least 6 years. Meaning you've had infection in the upper left area of your mouth and sinus for at least that long. When you had the infected root canaled tooth removed in October 2015, the sinus remained infected. So just taking into consideration the longevity and intensity of the infection it is easy to understand why this infection is so intense and complicated. I am glad that you did not decide to treat the sinus infection yourself with herbs or tinctures after the tooth was removed as that would have been a huge mistake. In cases like yours, there are no easy or direct solutions in the approach to treat this infection. Eradicating the infection completely is going to be difficult and lengthy. It may or may not have been ideal to place the bone graft, we talked about that in the earlier original posts. Some surgeons think the graft helps with the healing in these cases, while others think just the opposite. Some think removing the graft early on is advantageous, others leave it in awhile to see what happens. So the decision is based on the preference of your oral surgeon. Please remind me... has he done a 3 D dental and head scan? Also, I know you had planned on putting a dental implant in that #14 spot. I urge you to reconsider that option very carefully as most likely this area of your mouth and sinus is going to be less than optimally healthy for a very long time. Antibiotics can be life saving medications when used appropriately. However, they are not without risk or systemic complications and some like Levaquin can result in a debilitating condition called Peripheral Neuropathy. I am going to post a link from Neurologist Dr Perlmutter for informational purposes only. My point in bringing this information to the forefront is that it is important to understand the risks of the medications being prescribed so that we can make the best choices for ourselves as the doctors often leave out a lot of this pertinent information when writing out the prescription. The fact that the culture showed sensitivity to Levaquin indicates that at least some of the infectious bacteria will be destroyed by the medication. But this is not a medication that should be prescribed repeatedly by any means. After this prescription another culture of the bacteria should be taken. Also, each time you take antibiotics, irrelevant of which one, the medication destroys the healthy intestinal bacteria that is essential to sustain a healthy life. You cannot replenish this bacteria by eating foods alone unless you are eating home made kefir derived from non sugar sources on a daily basis. Dr Perlmutter has worked with a food and supplement company called Garden of Life and together they have formulated some very good quality probiotics. You can look at those probiotics several places online, but here are two good sources.... pureformulas.com and vitacost.com. Probiotics are essential to take during antibiotic therapy and then indefinitely thereafter to not just replenish the healthy bacteria but to keep it thriving in your gut. They should be taken one hour away from the antibiotic to avoid contradiction between the two. Generally taking 2 capsules (one at 2 different times of the day), more if necessary, during the course of taking antibiotics is recommended. Then stay on that regimen for at least 2 weeks after the meds are done. Reduce the dosage to one capsule per day unless you have digestive symptoms indicating to take more. Each person is unique in what they need. Also, the fact that you are rinsing with an antibiotic mouth rinse means that you are killing off not just the negative bacteria in your mouth, but the positive as well. This will pre dispose you to thrush or other oral infections not just while using it but afterwards as well. Opening up a capsule of the probiotic and putting it in some water just enough to rinse thoroughly with will be helpful at replenishing the good bacteria in the mouth. After using that, do not rinse out and it should be done an hour away from using the antibiotic oral rinse. Ideal if you could do that at night just before bed. http://www.drperlmutter.com/fluoroqu...al-neuropathy/ Regarding when to take the 3D scan.... it's a judgement call by the oral surgeon. He should be aware of the fact that you feel like there is infection way up inside of your head as that may be a symptom that warrants the scan be done now. It's really up to him. Keep in mind.... even under ideal conditions with the antibiotics doing there job... this is going to take a long time to heal. However, you should start to feel better, not worse and you should not develop any further symptoms if it is healing. Bryanna QUOTE=Angels31;1192655]Do you think that there could be an infection way up inside above the bone graft? When I went to the oral surgeon on Christmas Eve he did an x-ray on the teeth and said everything is fine. The site is fine where the stitches are, but I feel like there is an infection way up in my head. I am not sure if a ct scan would show that? What would I get a cut scan of? Sinus and neck? Or could it be that this is taking a really long time to heal, it has been two months since the last bone graft.[/QUOTE]
__________________
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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01-13-2016, 05:35 PM | #7 | ||
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Junior Member
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10-06-2016, 03:51 PM | #8 | ||
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Newly Joined
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Hi Angels31 I am new to this site but have just read your questions andI am suffering similar problems to you. I live in England are you in America! I would like to communicate with you.
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