Osteomyelitis in the jaw

Steven B. Community Member February 16, 2010
  • Hello,
    I would like to know what is the best test for possible osteomyelitis of the jaw.
    I have jaw pain under root canals, even those that have been removed.
    Thanks, Steve in Sacramento, California

8 Comments
  • faceache girl
    Feb. 25, 2010

    you have my sympathy, also in the same position but as yet undiagnosed here in the uk. not many people here are suffering with this so having a job getting docs and dentists to understand how painful this is and to admit that i coud have this ailment, all i know is that the pain can be excrutiating..

    good luck and wish you better soon

     

    faceache girl...

    RHMLucky777

    Read More

    you have my sympathy, also in the same position but as yet undiagnosed here in the uk. not many people here are suffering with this so having a job getting docs and dentists to understand how painful this is and to admit that i coud have this ailment, all i know is that the pain can be excrutiating..

    good luck and wish you better soon

     

    faceache girl

    • JohnP
      Feb. 25, 2011

      What are the early symptoms of osteomylitis of the jaw? About four months ago, I developed an infection behind my bottom wisdom tooth. After amoxicillin failed to resolve the infection, I decided to have the tooth extracted. During the extraction, the oral surgeon noted that that it was painful even with local anesthesia because he believed the infection was...

      RHMLucky777

      Read More

      What are the early symptoms of osteomylitis of the jaw? About four months ago, I developed an infection behind my bottom wisdom tooth. After amoxicillin failed to resolve the infection, I decided to have the tooth extracted. During the extraction, the oral surgeon noted that that it was painful even with local anesthesia because he believed the infection was present. He prescribed me amoxicillin for ten days. Two months later, I am concerned that I still have an infection and potentially osteomylitis but my symptoms are not serious. My present symptoms are: 1) metallic taste in  mouth (present since original infection but may be part of healing process) 2) Occasional tingling/tightness from mandibular joint down to chin 3) slight malaise/nausea. My blood test shows a normal WBC and I have no obvious swelling in my face or mouth. The strange taste is the most overpowering symptom. I would greatly appreciate if someone would advise if I should be concerned about osteomylitis? Thank you!

    • JohnP
      Feb. 25, 2011

      One other symptom I have...swollen glands under jaw.

    • Anonymous
      Katie T.
      Dec. 13, 2013
      John did you ever receive a diagnosis? I am experiencing these same symptoms three and a half years after jaw surgery of my mandible for extreme TMJ. I had to get a screw removed on the left hand side 6 weeks after the surgery, and then about 6 months later I needed a root canal for an abscess I got in the same area. I have always been able to feel deep rooted...
      RHMLucky777
      Read More
      John did you ever receive a diagnosis? I am experiencing these same symptoms three and a half years after jaw surgery of my mandible for extreme TMJ. I had to get a screw removed on the left hand side 6 weeks after the surgery, and then about 6 months later I needed a root canal for an abscess I got in the same area. I have always been able to feel deep rooted pain but 3 different dentists and my oral surgeon all said it looked good. I started experiencing the same symptoms you listed above in January but on the right hand side where I didn't have any additional trauma apart from the plate attachment during the initial surgery. I feel awful and went to see an ENT for my swollen gland. I finally met a doctor who didn't think I was crazy and thinks my pain is more than muscle related. He diagnosed me with a possible case of osteomyelitis without doing any tests, however. I've been on 500 mg of Cipro for 8 days already and I've felt no improvements. Once I started researching osteomyelitis, I'm sure that's what I have- I just don't understand how I feel more pain on the side I had never had issues with. My doctor wanted me on the Cipro for 6 weeks, but said after 2 weeks if I don't notice improvement, to stop the antibiotics and we will start treatment for possible nerve pain. I'm wondering if you really had osteomyelitis and your path of recovery once you started treatment?
  • Cici
    Feb. 18, 2010

    Steve,

     

    There are lengthy discussions on this section of the message boards.  I am not very adept at navigating these boards, but I did put the web site below.  I had surgery for possible chronic osteomyelitis on the day you posted.  Doctors have not given me a confirmed diagnosis, but my ordeal begain in 2007 after a root canal. ...

    RHMLucky777

    Read More

    Steve,

     

    There are lengthy discussions on this section of the message boards.  I am not very adept at navigating these boards, but I did put the web site below.  I had surgery for possible chronic osteomyelitis on the day you posted.  Doctors have not given me a confirmed diagnosis, but my ordeal begain in 2007 after a root canal.  It eased up after the root canal was removed, but then the swollen lymph nodes and feeling of illness returned after 3 years!

     

    The ONLY test that showed anything for me was an MRI.  XRays never showed a thing.  Even after the MRI in December 2009, I had a difficult time getting my dentist, my referring doctor, oral surgeon and infectious disease doctor to agree on the best course of treatment.  My regular dentist and referring doctor wanted the oral surgeon to open the area and debride the bone.  The oral surgeon wanted to wait to see if the area resolved after antibiotics.  I have been on antibiotics for 4.5 months with a 21 day lapse to see if I became symptomatic.  I did!

     

    After two months from the original referral from my dentist and primary doctor, and after much insisting from me, the oral surgeon finally agreed to open the area.  He found bone widening and granulation tissue- indicative of either an active or old infection.  I had the bone shaved down on the lingual side of my mandible to reshape the expansion caused by all of this. I also had the bone cleaned down to healthy bone tissue.

     

    The surgery was not bad, and I feel much better than I thought that I would afterwards. 

     

    You can check out this link for more info.  The cases are all different.  One thing is the same in almost all of the postings.  Find a doctor that will listen to you when you say you are in pain.  My referring doctor was a family friend who pushed for more testing and ordered the MRI.  He was right all along.  My regular dentist was too.  Osteomyelitis in the jaw is so rare.  All the doctors have remarked that the chances are about 2 in 10,000.  No matter, if you are one of the 2 in 10,000 you don't really care about how rare this is.

     

    http://www.healthcentral.com/chronic-pain/c/question/664343/48878

     

    CiCi

    • Steven B.
      Jun. 13, 2010

      Cici,

      how are doing now post-surgery? Do you still need antibiotics?

      Steve

    • Bernetta
      Nov. 09, 2011

      I have had two debridements, lost two more teeth and antibiotics for six months. I also had to quit taking RA medicines. I finished antibiotics three weeks ago. An abcess opened up three days ago. I am so depressed

  • Tim
    Tim
    Feb. 17, 2010

    You need to see an oral maxilliofacial surgeon to confirm and treat you.

    Google your condition and you will get plenty of info.     I have tmj so i have compassion for jaw pain.    Please contact the doc.    tim

Helpful Tools and Devices How to Make Life with RA Easier

Most Popular

Costs and Insurance
10 Affordable Pain Solutions