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Medical Forum / General / Dentistry / June 2006

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Thanks to the Twin Dentists.

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bob - 08 Jun 2006 05:29 GMT
The twin Dentists are a great service to the internet audience which
consists of many with real problems that need honest advice. Unlike
many, it seems that a lot of people have nothing better to do but
fiddle with subjects unrelated to their needs than to offer
unsolicited, friviolous and frequently, ridiculous dialog.(i.e. some of
us need to get a life). After sifting through these individuals,
especially the guy with some Pay pal chain letter pyramid scam, I am
very happy with these professional and reasonable responses of
articulate and invaluable information.    I truly thank you: Bob
Steven Bornfeld - 08 Jun 2006 16:16 GMT
> The twin Dentists are a great service to the internet audience which
> consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 5 lines]
> very happy with these professional and reasonable responses of
> articulate and invaluable information.    I truly thank you: Bob

    Thanks Bob.  This isn't always an easy medium to slog through if you're
looking for real information.

Steve
canyonlakegirl - 08 Jun 2006 23:23 GMT
My name is Carol,

I have been sick now for nearly 3 months.  I had felt my bridge upper
left quads were loose or had a dental issue toothy ache.  I went to the
average dentist, he told me I had necrosis of the bone where the pain
is, not feeling too comfy after he told me I was way overprepped for
the bridge some years back, but the bone is dying, getting smaller and
cant hold. blah blah blah, so I went to my doctor asking ? feeling the
pain now in my lower jaw feels like it is spreading.  he gave me a
referral to a upscale DDS.  I got a panoramic view, showing a lesion
above the painful site.  my sinus cavity is soap bubbles and cloudy,
yet I dont have a stuffy nose.  he said the advanced bone loss complete
upper teeth, and moderate of lower jaw. prognosis is bad for the teeth
without the sinus issue being in some sort of remission.  He said get
to an ENT right away and C/T scan of sinus.  by now my face is swelling
and having daily headaches.  the C/T shows moderate sinusitis but
again, no symptoms and large filled cyst?   it is so full the orbit
bone symetrically is 1/2 in view.  He wants to do surgery on the cyst,
but the pain is in the jaw, and my bridge is now wedged up more stable
but now crooked.  I dont know what to do.  the jaw bone is spongy, my
roof of my mouth is spongy, my lymph nodes on the C/T show left
multiple small and camping on my jugular, but feeling huge now like a
bag of walnuts in my throat, my clavicle is swollen all the way to the
A/C joint.  I am on antibiotics now 6 weeks including a shot.  I dont
feel any infection,blood tests of course just show high end of normal
on WBC, RBC's are border low and platletes are high end of high range .
Chest xray negative. I have had a abcess tooth before, this is
different.  under my arm is swollen, and my left breast gives me heart
attack like pains.  Other than this is am healthy 43 yr old female,
weigh 98 pounds and in great shape.  this is driving me crazy.  I am
thinking Maxillary Ameyloeblastoma or gangrene by now.  All symptoms
are on left side.and are spreading fast I feel it spreading inside then
few days later, swelling there too including my left foot when sitting
pitting edema above ear and foot.  My thorat is so swollen from glands,
and are having trouble making spit to swallow food, let alone not being
able to chew on the left for 3 months.  I have a small ulcer on roof of
mouth that doesnt go away.  can someone out there answer any of my
concerns, the doctors I dont have alot of faith in nothing has been
addressed or aspirated or biopsied yet.  PS i have an HMO.

Thanks you,
Carol

> > The twin Dentists are a great service to the internet audience which
> > consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 10 lines]
>
> Steve
Steven Bornfeld - 09 Jun 2006 03:48 GMT
> My name is Carol,
>
[quoted text clipped - 38 lines]
> Thanks you,
> Carol

    Not sure why this post was appended to mine.
    You have a variety of symptoms; some are clearly dental; some clearly
are not.
    You need an evaluation of your sinus symptoms; this probably involves
culture/sensitivity and antibiotic treatment, not necessarily biopsy.
You haven't made clear why you would mention ameloblastoma, or if
someone suggested you had an odontogenic tumor.
    You need a normal workup by a competent dentist and a competent
physician.  If you cannot get this within your HMO you must find another
way.

Good luck,
Steve
canyonlakegirl - 16 Jun 2006 19:25 GMT
Dear Steve,

Thank you for responding.  I finally found my original messase just now
and see that you read my story.

The reason why I feel this might be Maxillary Blastoma is the Panoramic
xray shows a a periapical Lesion around tooth 15, bove the loose
bridge.  In his report he mentioned radiopaque lesion, 1+ mobility of
bridge, and 6 mm pockets with bleeding & tenderness.

I have since had a lot of swelling above my clavicle, Got a MRI showing
4 nodes of sort and measuring 5 x 10 is the largest.  But now my right
knee is swollen, and can barely walk.  No injury occurred.  I had bone
pain there 10 days ago, which is the same symptom first, then the
swelling comes etc.  I have pains in wall behind breast, left breast is
swollen, and under arm is swollen, cyst on left wrist and pinky finger
all popped up in a week.  The biggest reaction lately is my right knee.
it looks like I have 3 large marbles under the skin. and is very
swollen.

Amelyblastoma is said to metastize to other areas of the body and need
to be treated as a aggressive lesion.  They feel cystic, but are
spreading lumps or setting up shop in many areas of my body.

The ENT  wil do surgery to remove the cyst around the lesion 7-6-06.  I
feel desperate to have something done sooner.  I am going to see my
Family Dr to show the swelling in the knee and see what he thinks of my
MRI report.  I just want something asperated and sent to the lab.  This
si spreading like crazy.  I still feel asymptomatic on any infection.

But it has to either be cancer or infection.  Either way I feel a good
recovery now has been compromised since too many areas are now
affected.  It feels out of control now.

Thank you,  I hope you respond if you have any thoughts or suggestions.

Carol  my email is     fxnurse@gmail.com

> > My name is Carol,
> >
[quoted text clipped - 52 lines]
> Good luck,
> Steve
Steven Bornfeld - 16 Jun 2006 22:27 GMT
> Dear Steve,
>
[quoted text clipped - 5 lines]
> bridge.  In his report he mentioned radiopaque lesion, 1+ mobility of
> bridge, and 6 mm pockets with bleeding & tenderness.

    I would resist the temptation to rush to a diagnosis.  Your description
is not the classical description of the radiologic picture of an
ameloblastoma--generally a multi-locular radiolucency, not primarily
radiopaque.  While ameloblastomas OCCASIONALLY metastasize, more
frequently they are only locally invasive.
    I would not be serving you well by speculating as to what this is.  You
are going for a biopsy and that is the right thing to do.  You might
have the ENT discuss the case with your dentist, esp. if the lesion in
the sinus seems to be associated with the mobile teeth.  Better yet, go
to an oral/maxillofacial surgeon who will be familiar with the
oropharyngeal ramifications of these lesions, and can possibly
coordinate treatment with your ENT.

Good luck,
Steve

> I have since had a lot of swelling above my clavicle, Got a MRI showing
> 4 nodes of sort and measuring 5 x 10 is the largest.  But now my right
[quoted text clipped - 80 lines]
>>Good luck,
>>Steve
Jan - 08 Jun 2006 18:12 GMT
> The twin Dentists are a great service to the internet audience which
> consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 5 lines]
> very happy with these professional and reasonable responses of
> articulate and invaluable information.    I truly thank you: Bob

Very true.

Steve is the only gentleman dentist that has ever posted here.

I don't recall his brother ever posting here?

But..Steve is the best!

Thanks for your post, Bob.

A huge thanks to Steve, also.

As ever,

Jan Drew
Steven Bornfeld - 08 Jun 2006 23:05 GMT
>>The twin Dentists are a great service to the internet audience which
>>consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 21 lines]
>
> Jan Drew

    Thanks Jan.  Mark has very rarely posted here (in fact, posted before I
did).

Best,
Steve
JimSocal - 08 Jun 2006 20:57 GMT
>The twin Dentists are a great service to the internet audience which
>consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 5 lines]
>very happy with these professional and reasonable responses of
>articulate and invaluable information.    I truly thank you: Bob
Me too! Thanks to Dr.(s?) Bornfeld!
Steven Bornfeld - 08 Jun 2006 23:09 GMT
>>The twin Dentists are a great service to the internet audience which
>>consists of many with real problems that need honest advice. Unlike
[quoted text clipped - 7 lines]
>
> Me too! Thanks to Dr.(s?) Bornfeld!

    You're welcome--hope I've helped.

Steve
 
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