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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Broken Jaw

My boyfriend has horrible teeth first off, he also has had a broken jaw which we aren't sure ever healed up from when he was 15 he is now 20 and has serious problems with it his plate in his jaw is practically coming out from the inside, he has what they believe is an abscess on the outside of his jaw but they say his teeth can't be pulled because his roots are wrapped around his plate somehow, he has been dealing with this infection for almost six years, and recently he has been experiencing burning/tingling shortness of breath, chest pains, and his fever right now is 102.3 can you help??
Fri, 13 Jun 2014
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Dentist 's  Response
Hello Dear
Thanks for your query. First of all be relaxed, I will be most happy if I could help you out.
Gone through your query, it really sounds very unusual that the fracture didn't heal in 5 year even after placing the plate.
the offendin tooth/teeth should be treated to treat the infection.
And the doctors also told you about the complications of extracting the teeth.
If there is any expected complication, the tooth/teeth can be managed under general anesthesia.
Coming towards the recent symptoms he is experiencing, see in fewer case oral infection travels to the heart valves grows there and causes sub acute bacterial endocarditis(SABE).Common symptoms are
• Fever & Chills
• anorexia, weight loss, malaise, headache, myalgias, night sweats, shortness of breath, cough, or joint pains.
But other causes for these symptoms can't be ignored.

So I advice you to get an appointment with the specialist dentist (oral surgeon) as well as with your cadiologist as soon as possible so that he/she can diagnose the exact problem clinically + radiographically .. and start the needful treatment.

For symptomatic relief from fever he can take paracetamol-500 mg tablet thrice daily as soon as he gets an appointment with the dentist. Hoping tha you get appointment within a day or two.


Hope this will help you. If there is any more query or question regarding this in your mind, you are always welcome.
Take Care

Regards

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Suggest Treatment For Broken Jaw

Hello Dear Thanks for your query. First of all be relaxed, I will be most happy if I could help you out. Gone through your query, it really sounds very unusual that the fracture didn t heal in 5 year even after placing the plate. the offendin tooth/teeth should be treated to treat the infection. And the doctors also told you about the complications of extracting the teeth. If there is any expected complication, the tooth/teeth can be managed under general anesthesia. Coming towards the recent symptoms he is experiencing, see in fewer case oral infection travels to the heart valves grows there and causes sub acute bacterial endocarditis(SABE).Common symptoms are • Fever & Chills • anorexia, weight loss, malaise, headache, myalgias, night sweats, shortness of breath, cough, or joint pains. But other causes for these symptoms can t be ignored. So I advice you to get an appointment with the specialist dentist (oral surgeon) as well as with your cadiologist as soon as possible so that he/she can diagnose the exact problem clinically + radiographically .. and start the needful treatment. For symptomatic relief from fever he can take paracetamol-500 mg tablet thrice daily as soon as he gets an appointment with the dentist. Hoping tha you get appointment within a day or two. Hope this will help you. If there is any more query or question regarding this in your mind, you are always welcome. Take Care Regards