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Medical Forum / General / Dentistry / July 2005Infection from Wisdom Teeth Extraction
Well, things were going well. Pain was subsiding, swelling was virtually non-existent. Then I notice some tenderness and light swelling on the outside of my gums where the impacted wisdom tooth was drilled out. Being the inquisitive person that I am, I decide to start "feeling" around the area. Well I find a "blistery" (like the scientific terms?) part and push on it. That's when about a teaspoon of nasty smelling pus came oozing out (side note: dentists don't get paid enough if you have to deal with that sight/smell every day). I called my oral surgeon right away (it was Sunday), and he put me on 500MG Penicillin V 4 times/day (7 days total). I've got some questions. What kind of affect can I expect this to have on me? Will it delay my healing period now? Are infections common, because my oral surgeon implied that there was a relatively low possibility of infection. Also, it's been nearly 2 weeks - do infections usually take this long to develop? I assumed if I didn't have an infection after 3 or so day, I was out of the woods. Why is it that the moon seems larger on the horizon, then it does in the sky (oh wait, wrong forum). Thanks for any information. >Well, things were going well. Pain was subsiding, swelling was >virtually non-existent. Then I notice some tenderness and light [quoted text clipped - 16 lines] > >Thanks for any information. Post-op infection rates are much higher 2-3 weeks after surgery than immediately after surgery. This antibiotic regimen should be curative but if another infection arises this warrants taking a peak in the extraction site to clean it, remove dead bone or what ever may be the problem. Too late... I just got back from seeing him and butchered me up (j/k of course). He shot me full of lidocaine, then went to town "cleaning and draining" it out. Oddly enough, it actually hurt despite being "numb". That's a tough one to explain. Regardless - I'm confident the oral surgeon is doing everything he needs to do to get this taken care of. Thanks for the information. The caine drugs don't work very well in the presence of infection. I can attest this, I went in last week for a root canal. The very fine isometric specialist shot me full of articaine, and that didn't do very much for my pain level. He said it's cause infection tends to be acid, and caines are alkaline. Or the other way, can't remember.  SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com Too late... I just got back from seeing him and butchered me up (j/k of course). He shot me full of lidocaine, then went to town "cleaning and draining" it out. Oddly enough, it actually hurt despite being "numb". That's a tough one to explain. Regardless - I'm confident the oral surgeon is doing everything he needs to do to get this taken care of. Thanks for the information. infection = acidic, -caine = basic. Presence of both = neutralized. from a physiological point of view, in order for the drug to diffuse into nerves, it has to be in an ionic state (drawn into it by the the charged up state of nerves ready to fire action potentials, oversimplified). In the presence of both, the drug is neutralized, therefore is not very effective in diffusing into the nerve. gotta love physiology > The caine drugs don't work very well in the presence of infection. > [quoted text clipped - 13 lines] > Regardless - I'm confident the oral surgeon is doing everything he > needs to do to get this taken care of. Thanks for the information. That's where alternate methods of anesthesia can be quite helpful. Using a different nerve block, intra-lig, Stabident, or X-tip can be quite effective. Fawks > infection = acidic, -caine = basic. Presence of both = neutralized. > from a physiological point of view, in order for the drug to diffuse into [quoted text clipped - 12 lines] >>He said it's cause infection tends to be acid, and caines are alkaline. Or >>the other way, can't remember. >Why is it that the moon seems larger on the >horizon, then it does in the sky (oh wait, wrong forum). > >Thanks for any information. Because. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I recently learned that a pus sack is called an "abscess". Now I can solve the cross word puzzle which stumped me in 1974. (not!!). Penicillins are typically run for ten days, so I question the seven day run. Seven isn't quite long enough. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com Well, things were going well. Pain was subsiding, swelling was virtually non-existent. Then I notice some tenderness and light swelling on the outside of my gums where the impacted wisdom tooth was drilled out. Being the inquisitive person that I am, I decide to start "feeling" around the area. Well I find a "blistery" (like the scientific terms?) part and push on it. That's when about a teaspoon of nasty smelling pus came oozing out (side note: dentists don't get paid enough if you have to deal with that sight/smell every day). I called my oral surgeon right away (it was Sunday), and he put me on 500MG Penicillin V 4 times/day (7 days total). I've got some questions. What kind of affect can I expect this to have on me? Will it delay my healing period now? Are infections common, because my oral surgeon implied that there was a relatively low possibility of infection. Also, it's been nearly 2 weeks - do infections usually take this long to develop? I assumed if I didn't have an infection after 3 or so day, I was out of the woods. Why is it that the moon seems larger on the horizon, then it does in the sky (oh wait, wrong forum). Thanks for any information. I've spoken to a couple friends/family members who have had the exact same dosage (4x 500 - 28 total). A little shy by my standards. Fawks > I've spoken to a couple friends/family members who have had the exact > same dosage (4x 500 - 28 total). I realize that you can't possibly know my exact situation, but what would prescribe for an infection after wisdom teeth extraction that developed anywhere from 1-2 weeks afterwords? He did also clean/drain/butcher the Hell out of the infected area. A nice thing to do when dealing with an infection is to run a culture and sensitivity before loading in a bunch of anti- biotics. This will help determine what 'bugs' you're dealing with and enable the dentist to pick out an effective antibiotic. Since most dental infections respond very well to Penicillin, that usually gets prescribed (assuming no allergy) first. If the infection does not respond, now you have a mess. If it is a penicilling resistant infection, Cloxacillin might be indicated. If it's anaerobic bacteria, you might want to add Flagyl. Cleocin can also be a good choice. Trouble is, without the cult/sens, no one knows for sure. I've been guilty of this myself. Fawks > I realize that you can't possibly know my exact situation, but what > would prescribe for an infection after wisdom teeth extraction that > developed anywhere from 1-2 weeks afterwords? He did also > clean/drain/butcher the Hell out of the infected area. You would probably know pretty quickly if the infection is responding to penicillin correct? If the pain/swelling doesn't subside in 3 or so days - he told me to get right back in to see him. I'm already feeling better (besides the inch long slice in my gum where he drained/cleaned the infection). > I realize that you can't possibly know my exact situation, <Eeenie Meenie Beenie... The Spirits are about to speak.....> You are sitting down. >but what > would prescribe for an infection after wisdom teeth extraction that > developed anywhere from 1-2 weeks afterwords? He did also > clean/drain/butcher the Hell out of the infected area. I would prescribe Pen VK for seven days like you already got. Take it one hour before meals and just before bedtime. Face Mecca while taking it.xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxx SP SignatureFinally: take out the TRASHH I wouldn't prescribe (I'm not a doctor). However, my DDS put me on amoxicillin. Note: If your doctor disagrees with me, do what your doctor says. He's the one with the education. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com I realize that you can't possibly know my exact situation, but what would prescribe for an infection after wisdom teeth extraction that developed anywhere from 1-2 weeks afterwords? He did also clean/drain/butcher the Hell out of the infected area. >I've spoken to a couple friends/family members who have had the exact >same dosage (4x 500 - 28 total). Very common Rx. Sometimes I write 20 tabs. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > Why is it that the moon seems larger on the > horizon, then it does in the sky (oh wait, wrong forum). > > Thanks for any information. Refraction off of the Earth's atmosphere at a sharp angle causes this illusion. The Earth is the planet we live on. An atmosphere is a kind of tree grown in South Vino. SP SignatureFinally: take out the TRASHH |
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