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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Severe Jaw Pain After Tooth Extraction

I had a tooth extracted from my upper left jaw two months ago. I took clindamycin as preventitive. I started with a horrible smell in my nose every time I bent over. I also had some sinus pain. My dentist suggested it was most likely a sinus infection, but cleaned out the site and gave me more clindamycin. It cleared up. Then 6 weeks later, I began having very severe shooting pain in my upper jaw. It was and it still intermittant throughout the day, but I can't say what sets it off...sometimes eating or heat, other times it just starts. The dentist said that it is infected. He gave me a larger dose of clindamycin. This is day 6 on that antibiotic. On day 4, I had less pain, then it returned with a vengance, radiating into my upper and lower jaw, and I am going back in tomorrow. I am concerned that I may have something very serious and my dentist in young and somewhat inexperienced. I am 64, by the way. What should he be doing at this point? Blood tests? Referral to a specialist? More of the same meds or something different ?( I am allergic to penicillin).
Mon, 6 Jul 2015
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Dentist 's  Response
Hi..
Can understand your concern..

As per your complain it seems that foul smell in nose and sinus pain was due to sinus infection and there are chances that the infection in sinus could have been due to transferring of infection from the extracted tooth if it was infected and the sinus floor got perforated during the tooth extraction which was later on healed with the healing extraction socket and infection subsided with Clindamycin..

But the pain which you are explaining now that is so severe and is spontaneous in occurrence does not seems to be due to tooth or sinus but it is pointing towards TRIGEMINAL NEURALIGIA which occurs due to disturbances in the trigeminal nerve like compression or injury to the trigeminal nerve which is the nerve of face..

I would suggest you to consult an Oral pathologist or an ENT surgeon and get evaluated and proper investigations done..

In case if it is ruled out your treating doctor may give you Carbamazipine which is a first line treatment for the Trigeminal neuralgic pain..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora..
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Suggest Remedy For Severe Jaw Pain After Tooth Extraction

Hi.. Can understand your concern.. As per your complain it seems that foul smell in nose and sinus pain was due to sinus infection and there are chances that the infection in sinus could have been due to transferring of infection from the extracted tooth if it was infected and the sinus floor got perforated during the tooth extraction which was later on healed with the healing extraction socket and infection subsided with Clindamycin.. But the pain which you are explaining now that is so severe and is spontaneous in occurrence does not seems to be due to tooth or sinus but it is pointing towards TRIGEMINAL NEURALIGIA which occurs due to disturbances in the trigeminal nerve like compression or injury to the trigeminal nerve which is the nerve of face.. I would suggest you to consult an Oral pathologist or an ENT surgeon and get evaluated and proper investigations done.. In case if it is ruled out your treating doctor may give you Carbamazipine which is a first line treatment for the Trigeminal neuralgic pain.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora..