Swelling/bone pain/lower jaw

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Last year I had a sinus procedure through my mouth- (biggest mistake!). I developed swelling lower jaw area. Ent states it not infected not sure how I got that swelling as he would expect swelling above lip area not lower jaw - weird something happened. Had a lot of pain inside mouth after from a canker sore and ent thought since I had a cold sore at some point after procedure that maybe it settled on a nerve inside mouth- canker sore was along cheek flesh. So I went to different specialists all types for this swelling. It’s not infected over and over I am told. It’s sensitive to the touch that area of flesh and I get bone pain at times underneath the swell like along the last 3 bottom teeth. Where wisdom tooth was and 2 teeth infront of it. And one area in particular it is tender when I touch that part. 

 Amox/clov did not help, levaquin no help, doxy no help, I was on a short dose of clindamycin and feel it did help don’t recall it help with swelling I thought by day 5 of med that when I touched swell it wasn’t as sensitive but hard to say. Cold weather aggravats that area of flesh. I remember walking on a cold day and it was just pain in the flesh area. Had MRI/CT scan all clear yet I completely know if it was a bone infection you have to have a certain amount of bone loss to show up on it. Dealing with issues with my upper maxillary sinus area- bone pain up there- ent and dentist back forth nightmare $$$ and teeth extracted and pain still there if not worse. Sinus feels puffier since last extraction so yeah me with trying to figure sinus upper jaw crap. So nuclear bone scan I guess is next but I just had 2 teeth extracted and not sure how long to wait until it doesn’t light up since I heard after a procedure it will light up. Heard of gallium scan as well. Live near John Hopkins and have been tempted to go to hospital there. Not sure if they would just blow me off and wonder if some freaking dr would say gee that swelling isn’t normal we need to investigate! But no I just get shrugged shoulders and told don’t know! Told since mri came back fine I need to accept it’s nothing. I once went to my local hospital back in January and in triage I explained my pain she just it’s not an emergency and didn’t put me back through and that I had an mri and that since it came back fine here is a prescription for naproxen and have a nice day! Getting another mri this Friday. My primary dr turned down my nuclear test going way back to Jan. So he ordered mri instead.

So meds on now no effect. 

Anyone from around VA/DC /Maryland area that recommends a dr that could help? Should I go to John Hopkins if mri comes back fine? 

I had dental conebeam CT’s and the last oral surgeon said he didn’t see anything on the ct scan. I just had another cone beam today and I asked about it because he didn’t take time to really look at scan he was focused on issues I was having in upper jaw. Not sure if there is someone out there that can really look at these scans and really take time in doing so- oral surgeon stated osteomyelitis is a late diagnosis so obviously it’s never taken seriously so this is why people get screwed. 

Thank you...

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2 Replies

  • Posted

    Hi I had osteomyelitis  in my lower spine earlier this year right after having knee surgery and you are right it's not taken seriously. When I was taken to the emergency room the first time the Physician assistant chalked the back pain up to favoring one leg over the other meanwhile they pumped me up with morphine and sent me home with oxycodone. The next day I was taken back by ambulance and admitted after a high fever and white blood cell count.  I was given a Ct scan and a regular mri and it was not until they did an mri with contrast it showed up. Not sure if this is how the jaw is diagnosed but figure I share this info. Hope you feel better.

  • Posted

    Follow up:

    So I had an MRI- a recap I had tooth 12 removed the end of June and have had pain since and some swelling. This adds to a bunch of other issues to my face left side- oh yippee! 

    The MRI states: mild focal edema at posterior left maxilla consistent with recent dental procedure. With left antral sinus mucosal thickening possibly odontogenic and small mucosal cyst.

    Ok so yes I have some slight swelling above where tooth was pulled and pain. So the recent tooth pulling added to the problem and so now I have to make sure it healed ok. Sinus dr saw this and didn’t mention anything about the edema.  And so tomorrow back to oral surgeon. Probably going to be pointless! Want a nuclear scan but everyone believes mri would have shown all. I feel like no one is listening and just making my problems worse! 

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