Wisdom teeth extracted......lower jaw infected....

Wisdom teeth extracted......lower jaw infected....

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beanbag

Original Poster:

7,346 posts

248 months

Monday 6th July 2009
quotequote all
This past Thursday I had my right top and bottom wisdom teeth extracted. I had the left ones extracted about 6 weeks ago and they have healed nicely.

The bottom tooth was impacted causing pain and my top tooth was growing diagonally into my cheek causing the occasional painful ulcer.

Unfortunately, now almost four days since the extraction, the bottom area which had to be opened up seems to be getting infected.

It's still very sore and the dentist has expressed a little concern saying the wound healed too quickly causing a cavity inside it which has the infection.

She's offered me a series of options and I want to get the best recommendation from any PH dentists....

1. Going under local anaesthetic again, opening up the wound; Cleaning it and then stitching it up again.

2. Taking more antibiotics. (Already taken some for the treatment).

3. Using saline under high pressure to clean out the wound every couple of days along with Ozone treatment. I had this today and all I can say it was fking painful.....

She even suggested leaving but keeping an eye on it just to see how it progresses by itself.

What's the recommended option?

Keep in mind I'm very funny about my teeth and have taken excellent care of them without a single filling in my mouth and would like to keep it this way. Even my 89 year old grandmother has most of her original teeth with only a couple of fillings!!!!

HRG.

72,857 posts

246 months

Monday 6th July 2009
quotequote all
Salt water gargle yes

beanbag

Original Poster:

7,346 posts

248 months

Monday 6th July 2009
quotequote all
HRG. said:
Salt water gargle yes
Not a bad idea. I'm using listerine a few times a day. Especially after each meal I eat and I'm constantly rinsing my mouth with water to the irritation of my colleagues!

squicky

274 posts

187 months

Monday 6th July 2009
quotequote all
When I had my wisdom teeth removed, I ended up with a dry socket/infection.
It was solved via a different type of antibiotics to the current ones I was using and via stuffing the socket with I think something clover based - made everything taste very oddly.

Driller

8,310 posts

285 months

Monday 6th July 2009
quotequote all
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19

beanbag

Original Poster:

7,346 posts

248 months

Monday 6th July 2009
quotequote all
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!

Driller

8,310 posts

285 months

Monday 6th July 2009
quotequote all
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43

ShadownINja

77,463 posts

289 months

Monday 6th July 2009
quotequote all
Just get it opened up and cleaned. I had a similar thing and once it was cleaned (hosed out with saline solution) everything was fine. Did stink of rotting flesh during the "procedure" though.

beanbag

Original Poster:

7,346 posts

248 months

Monday 6th July 2009
quotequote all
Driller said:
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43
Unfortunately I can't see the dentist today. She says she can't see me today, but she said it should be fine for tomorrow morning, first thing. Would leaving it this long cause any further problems?

Zithromax was definitely the name of antibiotic. I remember the name.

The other problem is I have been told I would have to have local anaesthetic to get a dry socket sorted as the problem socket is in my lower jaw and was originally an impacted wisdom tooth that had to be cut out.

Right now there is a hard lump over the affected area where I guess the infection is and it's just a dull pain.

So much for a simple procedure.... frown

Driller

8,310 posts

285 months

Monday 6th July 2009
quotequote all
beanbag said:
Driller said:
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43
Unfortunately I can't see the dentist today. She says she can't see me today, but she said it should be fine for tomorrow morning, first thing. Would leaving it this long cause any further problems?

Zithromax was definitely the name of antibiotic. I remember the name.

The other problem is I have been told I would have to have local anaesthetic to get a dry socket sorted as the problem socket is in my lower jaw and was originally an impacted wisdom tooth that had to be cut out.

Right now there is a hard lump over the affected area where I guess the infection is and it's just a dull pain.

So much for a simple procedure.... frown
For a dry socket leaving it a day longer will just man another day of discomfort nothing more. I have never given local anaesthetic to rinse a socket.

Bear in mind a dry socket is inflamation NOT infection. You understand that from an email I can't 100% identify what the problem is. If it IS an infection yuo will need an antibiotic, in this case metronidazole or Amoxycillin.

It should be a simple matter of giving the socket squirt of water spray and gently placing a bit of paste in it.

beanbag

Original Poster:

7,346 posts

248 months

Monday 6th July 2009
quotequote all
Driller said:
beanbag said:
Driller said:
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43
Unfortunately I can't see the dentist today. She says she can't see me today, but she said it should be fine for tomorrow morning, first thing. Would leaving it this long cause any further problems?

Zithromax was definitely the name of antibiotic. I remember the name.

The other problem is I have been told I would have to have local anaesthetic to get a dry socket sorted as the problem socket is in my lower jaw and was originally an impacted wisdom tooth that had to be cut out.

Right now there is a hard lump over the affected area where I guess the infection is and it's just a dull pain.

So much for a simple procedure.... frown
For a dry socket leaving it a day longer will just man another day of discomfort nothing more. I have never given local anaesthetic to rinse a socket.

Bear in mind a dry socket is inflamation NOT infection. You understand that from an email I can't 100% identify what the problem is. If it IS an infection yuo will need an antibiotic, in this case metronidazole or Amoxycillin.

It should be a simple matter of giving the socket squirt of water spray and gently placing a bit of paste in it.
I appreciate the info! The only thing I'm wondering is if you need to put this paste in the socket, wouldn't that mean undoing my stitches to get access to the socket? I've got masses of black thread in the inside of my mouth so I would assume that would have to be undone to get access?

I'm probably totally wrong but I'm no doctor! smile

Driller

8,310 posts

285 months

Monday 6th July 2009
quotequote all
beanbag said:
Driller said:
beanbag said:
Driller said:
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43
Unfortunately I can't see the dentist today. She says she can't see me today, but she said it should be fine for tomorrow morning, first thing. Would leaving it this long cause any further problems?

Zithromax was definitely the name of antibiotic. I remember the name.

The other problem is I have been told I would have to have local anaesthetic to get a dry socket sorted as the problem socket is in my lower jaw and was originally an impacted wisdom tooth that had to be cut out.

Right now there is a hard lump over the affected area where I guess the infection is and it's just a dull pain.

So much for a simple procedure.... frown
For a dry socket leaving it a day longer will just man another day of discomfort nothing more. I have never given local anaesthetic to rinse a socket.

Bear in mind a dry socket is inflamation NOT infection. You understand that from an email I can't 100% identify what the problem is. If it IS an infection yuo will need an antibiotic, in this case metronidazole or Amoxycillin.

It should be a simple matter of giving the socket squirt of water spray and gently placing a bit of paste in it.
I appreciate the info! The only thing I'm wondering is if you need to put this paste in the socket, wouldn't that mean undoing my stitches to get access to the socket? I've got masses of black thread in the inside of my mouth so I would assume that would have to be undone to get access?

I'm probably totally wrong but I'm no doctor! smile
Nah, it's easy enough to pop a bit of paste in between the stitches.

beanbag

Original Poster:

7,346 posts

248 months

Tuesday 7th July 2009
quotequote all
Just an update on my situation. Went to the dentist this morning and one of the nurses cleaned my mouth with saline and then performed an "ozone" treatment on it.

I mentioned to the dentist it was still hurting and I had a dull pain. She decided to undo my stitches, open up the would (under local anaesthetic), and almost chisel away at my socket with absolute brutality.

Apparently she wanted to make the socket "bleed" to get rid of this dry socket.

My mouth is now a mess and needless to say unless this was absolutely necessary, I am fked off with her and once this treatment is over, I refuse to go back to her. In fact, I'm considering not going back at all and finding another dentist......

Perhaps I'm blowing this out of proportion but I think this seems a tad OTT for my problem.

On top of this she's given me the same antibiotics to take again over the course of three days.

I'm one miserable PH'er.....

Driller

8,310 posts

285 months

Tuesday 7th July 2009
quotequote all
beanbag said:
Just an update on my situation. Went to the dentist this morning and one of the nurses cleaned my mouth with saline and then performed an "ozone" treatment on it.

I mentioned to the dentist it was still hurting and I had a dull pain. She decided to undo my stitches, open up the would (under local anaesthetic), and almost chisel away at my socket with absolute brutality.

Apparently she wanted to make the socket "bleed" to get rid of this dry socket.

My mouth is now a mess and needless to say unless this was absolutely necessary, I am fked off with her and once this treatment is over, I refuse to go back to her. In fact, I'm considering not going back at all and finding another dentist......

Perhaps I'm blowing this out of proportion but I think this seems a tad OTT for my problem.

On top of this she's given me the same antibiotics to take again over the course of three days.

I'm one miserable PH'er.....
I am going to pm you.

Rockape

274 posts

186 months

Tuesday 7th July 2009
quotequote all
beanbag said:
Just an update on my situation. Went to the dentist this morning and one of the nurses cleaned my mouth with saline and then performed an "ozone" treatment on it.

I mentioned to the dentist it was still hurting and I had a dull pain. She decided to undo my stitches, open up the would (under local anaesthetic), and almost chisel away at my socket with absolute brutality.

Apparently she wanted to make the socket "bleed" to get rid of this dry socket.

My mouth is now a mess and needless to say unless this was absolutely necessary, I am fked off with her and once this treatment is over, I refuse to go back to her. In fact, I'm considering not going back at all and finding another dentist......

Perhaps I'm blowing this out of proportion but I think this seems a tad OTT for my problem.

On top of this she's given me the same antibiotics to take again over the course of three days.

I'm one miserable PH'er.....
fcensoredk that. No wonder people hate the denist. It took me fifteen years to go back to the dentist after I went to a butcher when I was young. (Split a tooth, told me not to be a baby, so my old man suggested something about sticking the drill in the dentists backside if he touched my teeth again). I have a funny wisdom tooth that has grown in funny. It doesn't cause any problems but the dentist says each time, we could remove that. Yeah Right.

jessica

6,321 posts

259 months

Tuesday 7th July 2009
quotequote all
Driller said:
beanbag said:
Driller said:
beanbag said:
Driller said:
You should have another course of antibiotics (NOT the same one) and the she should wash the socket gently and place a special dressing in it of a product which will calm things down.(I can't remember what this is called in the UK but in France it is Alveo Penga).

You either have an infection, although if you were under antibiotics this shouldn't happen or more likely you have alveolitis also known as dry socket, which is inflamed bone and extremely painful.

Are you a smoker and did you smoke on or around the day of the surgery?

PS You should have been given a prescription for an antisceptic mouthwash to use during the week after the surgery.

Edited by Driller on Monday 6th July 12:19
Cheers for the info.

I'm not a smoker so no problems there and unfortunately I can't remember the name of the antibiotics I used apart from it started with "Z" and was just three tablets over three days and it gave me the runs.... (nice).

As for mouthwash, I was not told to do anything so I took it upon myself to rinse my mouth with listerine mouthwash after I ate and would always use water to rinse out my mouth on a regular basis.

I've got another appointment with the dentist tomorrow, but if you consider it urgent, I can pop along today and get it sorted quicker. I'm just not keen on this "washing" business without anaesthetic. It's excruciatingly painful!
The antibiotic would have been Zithromax in that case.

No mouthwash is pretty poor quite honestly after extracting a tooth. Try to get hold of a chlorhexidine mouthwash and use it for a week.

Your "excruciatingly painful" comment confirms that it is alveolitis and so more antibiotics are pointless. If she can see you to day and pop this paste in the socket you'll feel almost instantly better. Don't worry, washing the socket gently shouldn't hurt a bit.

Edited by Driller on Monday 6th July 14:43
Unfortunately I can't see the dentist today. She says she can't see me today, but she said it should be fine for tomorrow morning, first thing. Would leaving it this long cause any further problems?

Zithromax was definitely the name of antibiotic. I remember the name.

The other problem is I have been told I would have to have local anaesthetic to get a dry socket sorted as the problem socket is in my lower jaw and was originally an impacted wisdom tooth that had to be cut out.

Right now there is a hard lump over the affected area where I guess the infection is and it's just a dull pain.

So much for a simple procedure.... frown
For a dry socket leaving it a day longer will just man another day of discomfort nothing more. I have never given local anaesthetic to rinse a socket.

Bear in mind a dry socket is inflamation NOT infection. You understand that from an email I can't 100% identify what the problem is. If it IS an infection yuo will need an antibiotic, in this case metronidazole or Amoxycillin.

It should be a simple matter of giving the socket squirt of water spray and gently placing a bit of paste in it.
metronidazole not this one.. unless you want to forgo your glass of vino..............

beanbag

Original Poster:

7,346 posts

248 months

Tuesday 7th July 2009
quotequote all
Well, I'm a bit concerned. It seems the dentist didn't put any new stitches in my wound and has as such left my jaw bone exposed which I only noticed this evening.

I got my wife to take a photo and you can clearly see the jaw bone through a wound in my gums. This cannot be good for me to have the jaw bone exposed like this!!!! yikes

I can feel a dull pain (not strong), through my teeth, and my breath tastes and apparently smells bad.

I couldn't buy any chlorihexadine, but I've use listerine to carefully clean my mouth and brushed my teeth gently.

Can somebody please put my mind at rest and tell me this is ok and it'll heal up over time.....or should I go to the hospital to get this sorted asap?????

I'm honestly terrified that I can see my jaw....

Nightmare

5,229 posts

291 months

Tuesday 7th July 2009
quotequote all
christ on a bike dude. im watching Hulk and that scared me!

way out of my realm of expertise but nothing in my medical background remotely suggests that leaving bone exposed to the elements is a good plan.......a different dentist would be a definite starting point - some really are much better than others!

personally id go to a different dentist first thing tomorrow and just walk in and say you have an emergency and can they see you at once.....and show them why if necessary. i wouldn't go to hospital but that might be just me (cos i dont think in this situation they would necessairly do much except give you a painkiller if it really hurts and tell you to see a dentist - but i might be way off here)



-Z-

6,569 posts

213 months

Wednesday 8th July 2009
quotequote all
Well exposed bone is characteristic of dry socket. I'd stop the listerine because of it's high alcohol content and go back to warm salt water.

You're not in immediate danger, if it is dry socket then apart from rinsing and dressing the socket plus pain killers there's not a lot you can do! Anti biotics might help if there is an infective component Metronidazole being the weapon of choice.

Bacteria does play a role in dry socket, that's why we were taught to occasionaly give prophylactic antibiotics where extractions have involved a lot of bone removal. So it seems like you have been particularly unlucky!

The hole looks quite small to be honest and since there is no blood clot present then you are naturally going to be able to see your jaw. I would go back first thing tomorrow and ask for it to be re-irigated and Alvogyl dressing placed withbout anaesthesia. smile

Excuse carp spelling/grammar, half asleep and on iPhone!

Legal stuff like i'm not liable if you die, I may not be a real dentist yada yada..........

Driller

8,310 posts

285 months

Wednesday 8th July 2009
quotequote all
Alvogel! That's the stuff. Can you get Alveo Penga in the UK? Anyway it's the same stuff under a different name...

You have a PM Beanbag.