[JenLRhodes]

Hi,

I found this site from a lot of google searches, I saw Bryanna post on some very similar issues, so I appreciate the attention on this potentially redundant thread.

I have just had five teeth extracted, they came out 12 days ago. I had the top two molars on my right side fused to the bone (my 12 year molar and wisdom tooth) I had a bone graft placed.

It was quite a painful recovery, i took pain meds for over a week (Norco) along with ibuprofen and as much tylenol as i could add without taking too much. I also took a weeks worth of amoxil after the surgery.

A strong smell began in my nose a few days ago, a couple days after i finished the amoxil. It smells like roadkill, and it's disgusting. My boogers (Sorry) look clear if there are any at all. I have no fever.

I did have a lot of pain at the site, the bone grafting area was the most painful part of my recovery, all the other extractions were fairly straightforward with normal 3-5 day recovery.

This has put me through the wringer. I am worrying myself, infection/abscess or some sort of evil. Any ideas?

I have an appointment with my OS day after tomorrow. If it is an infection, will antibiotics alone help?

[Bryanna]

Hi JenLRhodes,

Given your dental history, surgical experience and antibiotic history, it is very possible that the sudden smell in your nose is indicative of something abnormal (bacterial) in your sinus.

Was there any mention of a sinus exposure or perforation mentioned to your by the oral surgeon? If you press on your face just to the side of your nose on each side, near the lower cheek bone, do you get any pain or tenderness? If you bend your head down towards the floor do you get any pulsating or discomfort in the your sinus or head? Any discomfort or pressure in your ears? Any post nasal drip? Do your nasal passages or sinus feel stuffy?

May I ask... were the extracted teeth root canaled?

Bryanna

Originally Posted by JenLRhodes

Hi,

I found this site from a lot of google searches, I saw Bryanna post on some very similar issues, so I appreciate the attention on this potentially redundant thread.

I have just had five teeth extracted, they came out 12 days ago. I had the top two molars on my right side fused to the bone (my 12 year molar and wisdom tooth) I had a bone graft placed.

It was quite a painful recovery, i took pain meds for over a week (Norco) along with ibuprofen and as much tylenol as i could add without taking too much. I also took a weeks worth of amoxil after the surgery.

A strong smell began in my nose a few days ago, a couple days after i finished the amoxil. It smells like roadkill, and it's disgusting. My boogers (Sorry) look clear if there are any at all. I have no fever.

I did have a lot of pain at the site, the bone grafting area was the most painful part of my recovery, all the other extractions were fairly straightforward with normal 3-5 day recovery.

This has put me through the wringer. I am worrying myself, infection/abscess or some sort of evil. Any ideas?

I have an appointment with my OS day after tomorrow. If it is an infection, will antibiotics alone help?

[JenLRhodes]

He didn't mention any perforation, but I'm not sure I like his communication with me. I asked him about it, and he said if I had a perforation, it would likely heal.

After I went to the oral surgeon again, (the day after my original post) he just gave me augmentin. I don't think it did anything, i didn't notice a change at all. So now i've taken amoxil for seven days immediately post surgery and augmentin for seven days. I'm worried if it is an infection it'll be antibiotic resistant at this point.

I'm worried that i somehow have perforation that didn't close up and is causing an infection somewhere. Or that the bone graft is somehow causing an infection.

If i press on my face on the side of my nose on the affected side (my right) i get tenderness. If I bend my head it becomes more painful. Today i've noticed pressure underneath my eye as well, and i've had a nagging headache on my right temple. My nasal passage on my right side feels stuffy. I'm still blowing green and yellow stuff. my gums sometimes hurt on that side, and my teeth. I can still smell the sickly sweet smell too, and sometimes taste it. And it makes my cheekbone hurt, and my throat on that side a little tender.

I believe there is some post nasal drip because of the taste, and i become nauseous. The teeth were not root canaled, but one of them (the fused twelve year molar) had a cavity.

are there ways to tell if the sinus was perforated? should i seek out an ENT or a different Oral Surgeon for more guidance? The one i went to did not really take my concerns into real consideration. I told him i had a gross smell, he looked at my gums and said they looked fine, took an xray but i don't know what he saw, and gave me augmentin.

Originally Posted by Bryanna

Hi JenLRhodes,

Given your dental history, surgical experience and antibiotic history, it is very possible that the sudden smell in your nose is indicative of something abnormal (bacterial) in your sinus.

Was there any mention of a sinus exposure or perforation mentioned to your by the oral surgeon? If you press on your face just to the side of your nose on each side, near the lower cheek bone, do you get any pain or tenderness? If you bend your head down towards the floor do you get any pulsating or discomfort in the your sinus or head? Any discomfort or pressure in your ears? Any post nasal drip? Do your nasal passages or sinus feel stuffy?

May I ask... were the extracted teeth root canaled?

Bryanna

[Bryanna]

JenLRhodes,

Unfortunately, the repetition of antibiotics is commonly and thoughtlessly done but it is not without consequences. Each time you take an antibiotic you upset the balance of your intestinal flora pre disposing you to future inflammatory and bacterial problems. Especially if you already have gut issues or other health problems. So antibiotics should only be given if they are warranted, not just for the sake of giving them.

If the healing were going well, you would not continue to have the same symptoms nor would you be getting additional symptoms. If you feel that this OS is not as concerned as you are about the symptoms and you feel his arrogance takes presidency over his obligation to take care of you, then please consult with another oral surgeon. Someone who is unaffiliated with this one. You would need your pre op and any post op xrays and a copy of the surgical report for that new consultation. It is best to not speak ill of the previous OS to the new office as you do not want to put the them on the defensive or make them leery of taking you on as a patient.

You may also need to consult with an ENT but at this stage the ENT will have limited options of treatment. You need to be evaluated by an OS first.

I hope this info is helpful. Please keep us posted.
Bryanna

Originally Posted by JenLRhodes

He didn't mention any perforation, but I'm not sure I like his communication with me. I asked him about it, and he said if I had a perforation, it would likely heal.

After I went to the oral surgeon again, (the day after my original post) he just gave me augmentin. I don't think it did anything, i didn't notice a change at all. So now i've taken amoxil for seven days immediately post surgery and augmentin for seven days. I'm worried if it is an infection it'll be antibiotic resistant at this point.

I'm worried that i somehow have perforation that didn't close up and is causing an infection somewhere. Or that the bone graft is somehow causing an infection.

If i press on my face on the side of my nose on the affected side (my right) i get tenderness. If I bend my head it becomes more painful. Today i've noticed pressure underneath my eye as well, and i've had a nagging headache on my right temple. My nasal passage on my right side feels stuffy. I'm still blowing green and yellow stuff. my gums sometimes hurt on that side, and my teeth. I can still smell the sickly sweet smell too, and sometimes taste it. And it makes my cheekbone hurt, and my throat on that side a little tender.

I believe there is some post nasal drip because of the taste, and i become nauseous. The teeth were not root canaled, but one of them (the fused twelve year molar) had a cavity.

are there ways to tell if the sinus was perforated? should i seek out an ENT or a different Oral Surgeon for more guidance? The one i went to did not really take my concerns into real consideration. I told him i had a gross smell, he looked at my gums and said they looked fine, took an xray but i don't know what he saw, and gave me augmentin.

[JenLRhodes]

I went to see another OS, he looked in my mouth and said my gums look good, like they're healing, and the xray he took didn't seem to concern him.

He recommended an ENT, who looked in my sinuses and identified an infection.

He gave me two weeks of Cipro and scheduled a follow up directly after to ascertain the necessity for further treatment.

As it stands now i don't believe the Cipro is working, but i will be finishing the treatment.

I'll let you know what comes of the follow up. I'm wondering if i'm having some sort of negative reaction to the grafting material?

Originally Posted by Bryanna

JenLRhodes,

Unfortunately, the repetition of antibiotics is commonly and thoughtlessly done but it is not without consequences. Each time you take an antibiotic you upset the balance of your intestinal flora pre disposing you to future inflammatory and bacterial problems. Especially if you already have gut issues or other health problems. So antibiotics should only be given if they are warranted, not just for the sake of giving them.

If the healing were going well, you would not continue to have the same symptoms nor would you be getting additional symptoms. If you feel that this OS is not as concerned as you are about the symptoms and you feel his arrogance takes presidency over his obligation to take care of you, then please consult with another oral surgeon. Someone who is unaffiliated with this one. You would need your pre op and any post op xrays and a copy of the surgical report for that new consultation. It is best to not speak ill of the previous OS to the new office as you do not want to put the them on the defensive or make them leery of taking you on as a patient.

You may also need to consult with an ENT but at this stage the ENT will have limited options of treatment. You need to be evaluated by an OS first.

I hope this info is helpful. Please keep us posted.
Bryanna

[Bryanna]

JenLRhodes,

Please read posts from Angels31. She has a similar problem to yours. You are both on the same family of antibiotics called Fluoroquinolones. These antibiotics are not without systemic consequences. Therefore, they should only be prescribed in dental situations unless a bacterial culture has determined that they are the appropriated medication for this particular species of infectious bacteria.

Please see this video and link by Neurologist Dr Perlmutter.
http://www.drperlmutter.com/fluoroqu...al-neuropathy/

The ENT and the oral surgeon need to collaborate on this infection as it could be that the surgical site is still infected.... the graft may be infected... the sinus may have additional infection. They need to work together.

Bryanna

Originally Posted by JenLRhodes

I went to see another OS, he looked in my mouth and said my gums look good, like they're healing, and the xray he took didn't seem to concern him.

He recommended an ENT, who looked in my sinuses and identified an infection.

He gave me two weeks of Cipro and scheduled a follow up directly after to ascertain the necessity for further treatment.

As it stands now i don't believe the Cipro is working, but i will be finishing the treatment.

I'll let you know what comes of the follow up. I'm wondering if i'm having some sort of negative reaction to the grafting material?