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About Joel S. Teig, DMD, FABOMS
Expertise
I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.
Experience
Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.
Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons
Education/Credentials
BA
DMD
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You are here: Experts > Health/Fitness > Surgery > Oral Surgery > fever & chills removal root canal abscess & 825/125 augmentin
Expert: Joel S. Teig, DMD, FABOMS
Date: 5/15/2008
Subject: fever & chills removal root canal abscess & 825/125 augmentin
Question
QUESTION: To try &save my tooth: Endodontist removed a broken post, cleaned out infection. stated it had been contained. He sent me directly to gen. dentist who placed a new post and re-cemented my original crown. 825/125 Augmentin @2day 5 days.
3/4thday-bloating,gas,abdominal increasing discomfort.I stopped taking Antibiotic.Days 5to7 flu-like aches chills & spiking temp to 102 degrees.exhaustion. Called his Office-Service which emailed Endodontist,day 6 -No response.He denys having received any email.
Saw Endodontist, day 8, also told of neuralgia type pain a couple of times along rt.jaw jaws,-scary?
He Stated that digestive and temp not due to antibiotic. Gum looked good, no tenderness. Nothing more he could do
just my body working through it.
I crawled back onto my bed and slept fitfully 4 hours.
My temp./chills//body aches/ still with me.
This is not OK, I do want an infection spread.
Please tell me what I should do next:This is very scary, I feel abandoned.
ANSWER: Rita - There are, of course, people who get reactions to Augmentin, but the fever, body aches and chills are not normal reactions to medication. It sounds like you are having a viral infection rather than a reaction to the Augmentin or an infection from the tooth area. My suggestion is for you to contact your physician to be examined. In the long run I don't think there is anything to worry about, but your physician should definitely examine you.
I hope you feel better soon.
---------- FOLLOW-UP ----------
QUESTION: I did head out to the urgent care when my temp reached 104 degrees and I was beginning to believe I would never be well again. My CBC blood panel is fine. chest xray good, and a blood culture has been ordered.
However,as I sipped a drinkable temperature hot drink tonight,a searing pain spread from the area of 'the tooth' along the whole jaw line and part way up that half of my face. The after sear, throbbing continued for about 20 minutes. I am sitting here stunned that root does not contain a nerve.
So my urgent questions are:1.Howdoes a through endodontist ensure full removal of bacteria,2.Can the bacteria spread through the base of the root,3.Is the bacteria all anaerobic,4.How fast can anaerobic bacteria spread and does it remain in the bone or take a ride through the blood system.
So do I go back to this endodontist who told me I was just too sensitive and there was nothing wrong. And hasn't called me back to see if the fever has ended! What should he offer to do so I know I can trust him?
Rita
Answer
Rita - There is always the possibility, with endodontic treatment, to cause bacteria within a tooth to spread to the surrounding tissues. This is why medication is placed within a canal during the treatment to kill all bacteria. During the procedure, however, the endodontist can push bacteria beyond the tooth and into the bone where the medication that kills bacteria within the tooth does not reach.
The endodontist needs to view a new xray of the area to see if there is a darkening on xray beyond the root. I know you don't trust the endodontist. I wish I could give you a suggestion beyond getting a different endodontist to examine you. I wish you well and hope you feel better soon.
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