jawsurgeryforums.com
General Category => General Chat => Topic started by: ppsk on August 16, 2017, 01:16:26 AM
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my infection is back, exact same spot, same beginnings.
Sucks, really thought i was out of the woods. Looks like it might be the medpor that is infected after all. I'll go to the GP tomorrow and get a course of antibiotics, start scheduling to consult a surgeon about removal. I do know there are people who have done multiple courses of antibiotics and sometimes never have another infection, but personally I'm at a point where I feel like the aesthetic contribution the medpor makes isnt that significant and I'd rather not have to live with the risk factor.
The surgeon I'm going to consult with does PEEK customs, so I'll have a look, but unless I feel like he can deliver on something that is actually a significant improvement, i wont bother and will just get removal alone.
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Was it jaw implants? What symptoms did you have that made you know it was infected?
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Was it jaw implants? What symptoms did you have that made you know it was infected?
yes medpor jaw angle implants
starts off with a strange sensation in the area, when pressed on almost feels like a numb nerve, then within 24 hours progresses to swelling and light pain when touched.
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Sorry to hear this. From what I know about medpor, you may have to move fast before it becomes too hard to remove.
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Really sucks :(
I hope the removal goes smoothly.
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does anyone know whats the minimum time that plates can be safely removed?
I figure i might as well get them removed at the same time
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does anyone know whats the minimum time that plates can be safely removed?
I figure i might as well get them removed at the same time
One year.
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One year.
I've definitely heard less than that. Maybe Lazlo or one of the other guys who've had them removed can speak up. If I had to try from memory, I'd say about 3 months. That's really too bad to hear about the jaw implants. Off the shelf designs for jaw angles typically don't seem to help people much. The doc's show great before/after's but many times it doesn't work out that way. My skin's fairly thin and I'm thin, whereas someone with a chubbier looking jaw/neck area maybe won't see as much. Then there's the angle of the implants, the bone, etc.. clusterf of things to account for that most docs just don't.
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I know someone who is having plates removed after 7 months.
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actually taking a look at my xrays... it looks like it could be a screw that is infected. The swelling is in that area but the pain isnt when i press on the implant its a little bit forward of it and underneath....
man i dont know.
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I would not remove the plates until at least 6 months - you risk non union and relapse otherwise.
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Sorry to hear that. Would you go back to Marianetti?
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Sorry to hear that. Would you go back to Marianetti?
of course, he didn't do anything wrong, i'm just one of the unlucky 10% it looks like.
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of course, he didn't do anything wrong, i'm just one of the unlucky 10% it looks like.
I meant to remove them. But I guess you live in Aus so it's a pain in the ass flying back and forth!
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I meant to remove them. But I guess you live in Aus so it's a pain in the ass flying back and forth!
oh yeah, no I wont bother flying back just for removal, I'll try to find someone locally. If anyone has any recommendations on that front, I'd appreciate it.
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oh yeah, no I wont bother flying back just for removal, I'll try to find someone locally. If anyone has any recommendations on that front, I'd appreciate it.
Australian surgeons typically tell you "go back to your surgeon". Time is of the essence. It may take as long as 4 weeks to get an appointment with one, and the best surgeon to remove them is the one who put them in.
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so an update
I got prescribed Amoxicillin/clavulanic acid which is the same thing i had post-op (augmentin), but not as strong as the antibiotics Dr M put me on when i got infected at week 5... anyway, infection cleared up within a few days... few weeks later, I'm infected AGAIN, but on the opposite side this time.
I was just starting to really like the results too, I had underestimated the residual swelling from the bimax in the cheeks which was "blurring" the results for lack of a better description. I did a lot of reading about infected facial implants, the literature suggests that if medpor gets infected early post-op, removal is really the only treatment that works.
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I'm sorry to hear that. Although I don't know if this is possible, but is there any way they can inject the ABs directly into the infected area? I suspect a dental (periodontal) pathogen may have been released to infect the area. The other ABs for those types of pathogens is clindamycin.
There are a number of 'red zone' (bad) periodontal pathogens that can be released during dental work and of course surgery through the mouth. Some of them get killed by some ABs. Others to different ABs.
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I'm sorry to hear that. Although I don't know if this is possible, but is there any way they can inject the ABs directly into the infected area? I suspect a dental (periodontal) pathogen may have been released to infect the area. The other ABs for those types of pathogens is clindamycin.
There are a number of 'red zone' (bad) periodontal pathogens that can be released during dental work and of course surgery through the mouth. Some of them get killed by some ABs. Others to different ABs.
I imagine you could but I dare say my GP won't do that. I'll ask him to put me on a stronger AB (which is what i wanted in the first place, but he insisted on trying out this ab first).
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Oh man that really sucks now that you are liking the result. A guy's jaw implants got infected from Sailer and he injected whatever antibiotic it was into the implant area I think. Are you in UK? Maybe try and see a plastic surgeon or maxillofacial surgeon here and ask if they can do that.
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I'm not a doctor, so this is strictly IMO... Cycling antibiotics long term is a bad idea. You will wreck your stomach.
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I'm not a doctor, so this is strictly IMO... Cycling antibiotics long term is a bad idea. You will wreck your stomach.
It is, but I don't have much choice at the moment.
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It is, but I don't have much choice at the moment.
And the infection then disappears? And later she reappears?? Or is she completely cured?
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And the infection then disappears? And later she reappears?? Or is she completely cured?
infection seems to respond to antibiotics but always comes back eventually after antibiotics are ceased.
The initial infection i had was on the left side and the same spot again a few weeks later, now this time its on the right side.
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infection seems to respond to antibiotics but always comes back eventually after antibiotics are ceased.
The initial infection i had was on the left side and the same spot again a few weeks later, now this time its on the right side.
Omg that sucks. But if the infection is on both sides, it means that the surgeon has been sloppy, or what do you think?
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Omg that sucks. But if the infection is on both sides, it means that the surgeon has been sloppy, or what do you think?
no, the infection rate is quite high relatively for medpor this particular area (20%), I'm just one of the unlucky ones.
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no, the infection rate is quite high relatively for medpor this particular area (20%), I'm just one of the unlucky ones.
But you got infected on both sides. Is it normal that the infection spreads from one side to the other?
I think 20% risk of infection is exaggerated. Did your surgeon tell you that?
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If I hate something then it is an infection. >:(
I am really very sorry for you.
Precisely for this reason i prefer chin wing over medpor implants!
At least it seems that you concentrate on the essential things and stay even in stressful situations calm which is priceless for the surgical business.
I cant express myself verbally in english. I think thats why i got banned two times.
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I got an huge and painfull infection post-op with chin wing so you're not safe with going with your own bone. fortunately it cleared up after going on heavy antibiotics. So will yours too i'm sure.
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I got an huge and painfull infection post-op with chin wing so you're not safe with going with your own bone. fortunately it cleared up after going on heavy antibiotics. So will yours too i'm sure.
Were you otherwise happy with chin wing?
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But you got infected on both sides. Is it normal that the infection spreads from one side to the other?
I think 20% risk of infection is exaggerated. Did your surgeon tell you that?
yes. Another user on here told me a prominent maxfac also told them a similar number (>15%). This is specifically for medpor in the jaw angle region.
So I don't think its exaggerated. Rather, you are being shocked by the frank admission of clinical experience vs what is claimed in the literature, figures which are unreliable for various reasons.
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I got an huge and painfull infection post-op with chin wing so you're not safe with going with your own bone. fortunately it cleared up after going on heavy antibiotics. So will yours too i'm sure.
Yes but am i right that with using your own bone the infection at least didn't return whereas with medpor implants you have to remove the material?
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The thing with implants or any foreign body is that I suspect they produce low grade inflammation long term. And now it's almost official that that's the biggest contributor to poor cardiovascular health (not cholesterol - that's old hat).
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That's because medpor and all these foreign materials are not inert.
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The thing with implants or any foreign body is that I suspect they produce low grade inflammation long term. And now it's almost official that that's the biggest contributor to poor cardiovascular health (not cholesterol - that's old hat).
Crap that's scary and I can well believe it, I have medpor in my nose, the screws and plates could also be causing inflammation.
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That's because medpor and all these foreign materials are not inert.
I hope that's not the case with metal plates.
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I hope that's not the case with metal plates.
No thats not the case with metal place. They are also very small. Also it isnt the case with ha f.e. since it is very natural and it is very unlikely that it will ever become infected. And if for some reason it were to get infected, it can be effectively treated with oral antibiotics.
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No thats not the case with metal place. They are also very small. Also it isnt the case with ha f.e. since it is very natural and it is very unlikely that it will ever become infected. And if for some reason it were to get infected, it can be effectively treated with oral antibiotics.
How do we know plates aren't causing some kind of inflammation, why wouldn't they?
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How do we know plates aren't causing some kind of inflammation, why wouldn't they?
What i have heard is titanium is well tolerated by the body.
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What i have heard is titanium is well tolerated by the body.
Yeah but it wouldn't surprise me if they cause at least minute inflammation.
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Bowie u drink like a fish and are concerned about minute inflammation from an implant.
Just f**kin LOL.
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FWIW https://www.ncbi.nlm.nih.gov/pubmed/15220596
If implants cause auto immune issues the best bet imo may be to look at what silicone breast implants cause as they have been around for a while now and used extensively.
There was some issue I vaguely recall . Some kinda rare cancer but that was due to the surface of the implants having granules or something.
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Bowie u drink like a fish and are concerned about minute inflammation from an implant.
Just f**kin LOL.
😂 LOL But for all I know inflammation is causing all the muscle issues in my face.
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FWIW https://www.ncbi.nlm.nih.gov/pubmed/15220596
If implants cause auto immune issues the best bet imo may be to look at what silicone breast implants cause as they have been around for a while now and used extensively.
There was some issue I vaguely recall . Some kinda rare cancer but that was due to the surface of the implants having granules or something.
Really? So it was because the rough surface of the implant kept on abrasing against the (muscle?) and overtime caused cancer? HA could do the same.
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Someone on missj forum had an injected cheek implant, the doctor (who retired ) injected antobiotic right onto the implant. He said it was painful but worked
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Really? So it was because the rough surface of the implant kept on abrasing against the (muscle?) and overtime caused cancer? HA could do the same.
https://www.nytimes.com/2017/05/14/health/breast-implants-cancer.html?mcubz=3
Tiny portion of millions of women , keep that in mind.
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"Texturing may cause inflammation that leads to cancer. If detected early, the lymphoma is often curable."
F#*!k so the same will apply to medpor, cartilage, HA paste... Oh man :-\
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Nearly all the cases have been linked to implants with a textured or slightly roughened surface, rather than a smooth covering. Texturing may cause inflammation that leads to cancer. If detected early, the lymphoma is often curable.
Just get s**t with smooth surfaces? But I guess HA granules are by definition "rough" ?
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"Texturing may cause inflammation that leads to cancer. If detected early, the lymphoma is often curable."
F#*!k so the same will apply to medpor, cartilage, HA paste... Oh man :-\
But not silicone?
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The risk of infection starts when a periodontal pathogen gets released (from the teeth) into the mouth cut. Risks are lowered with a good cleaning 3 months prior and meticulous dental hygeine prior to surgery and more so than 'normal'. So, decreasing risk, starts there.
On the day of surgery, a patient should be instructed to self clean the mouth (brush teeth and disinfect mouth wash) soon before it while at facility where surgery is to be performed. After that, right before the cut, the doctor should lavage the mouth with more anti-septics, like while one is on the table.
My readings/research on infection risks with porex implants is LESS than 5%. So, 10% chance seems pretty high to me. However, the 10% could reflect that observed in the clinical practice who cited that figure. Still seems high to me and enough so NOT to place implants in at the SAME time as a cut to the bone area because if there is infection to implant AND a cut bone area, risks of infection would tend to get higher to the bone cut areas .
Keep in mind that even if just bone cut and no implant, having no implant does not preclude infection. Although if infection and no implant, the chances are better of the infection clearing with no implant placed at same time as bone cut area.
Then there is factor of pore size of implant. I forget the micron size but it's like this. A phagocyte is LARGER than an unwanted bacteria. (Phagocytes are cells that protect the body by ingesting (phagocytosing) harmful foreign particles, bacteria, and dead or dying cells.) So, the pore size must not be that small so only the bad bacteria can get in but not the phagocytes to ingest (protect against infection).
Probably best to get them out ASAP to lower chances of infection spreading to bone.
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no, the infection rate is quite high relatively for medpor this particular area (20%), I'm just one of the unlucky ones.
If that's the infection rate, then he's putting you at risk to put in the implants at same time as bone cuts.
To the best of my knowledge 20% isn't the infection rate of the docs known for doing (off the shelf) jaw implants (porex). More like it, it's the rate of people not liking the look of them.
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Really? So it was because the rough surface of the implant kept on abrasing against the (muscle?) and overtime caused cancer? HA could do the same.
Well one max fac told me "muscle wants to be next to bone" and didn't elaborate any further except that he did implants only for trauma reconstruction when all other options were exhausted.
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The risk of infection starts when a periodontal pathogen gets released (from the teeth) into the mouth cut. Risks are lowered with a good cleaning 3 months prior and meticulous dental hygeine prior to surgery and more so than 'normal'. So, decreasing risk, starts there.
On the day of surgery, a patient should be instructed to self clean the mouth (brush teeth and disinfect mouth wash) soon before it while at facility where surgery is to be performed. After that, right before the cut, the doctor should lavage the mouth with more anti-septics, like while one is on the table.
My readings/research on infection risks with porex implants is LESS than 5%. So, 10% chance seems pretty high to me. However, the 10% could reflect that observed in the clinical practice who cited that figure. Still seems high to me and enough so NOT to place implants in at the SAME time as a cut to the bone area because if there is infection to implant AND a cut bone area, risks of infection would tend to get higher to the bone cut areas .
Keep in mind that even if just bone cut and no implant, having no implant does not preclude infection. Although if infection and no implant, the chances are better of the infection clearing with no implant placed at same time as bone cut area.
Then there is factor of pore size of implant. I forget the micron size but it's like this. A phagocyte is LARGER than an unwanted bacteria. (Phagocytes are cells that protect the body by ingesting (phagocytosing) harmful foreign particles, bacteria, and dead or dying cells.) So, the pore size must not be that small so only the bad bacteria can get in but not the phagocytes to ingest (protect against infection).
Probably best to get them out ASAP to lower chances of infection spreading to bone.
Thanks for posting this. FWIW, I've also been told that implants should not be done at the same time as orthognathic surgery due to higher infection risk.
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Thanks for posting this. FWIW, I've also been told that implants should not be done at the same time as orthognathic surgery due to higher infection risk.
Glad to be of help. Best to wait up to a year after the jaw cuts for implant overlay.
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If that's the infection rate, then he's putting you at risk to put in the implants at same time as bone cuts.
To the best of my knowledge 20% isn't the infection rate of the docs known for doing (off the shelf) jaw implants (porex). More like it, it's the rate of people not liking the look of them.
Thats his clinical experience - 20% for medpor in that specific region, 10% of which resolved with antibiotics, other 10% necessitated removal. Another user relayed to me a Canadian maxfac similarly warned of a relatively high rate of infection for jaw angle medpor in his experience - 15%. Nothing to do with revision due to aesthetic concerns.
I'm not sure why this region would have a higher incidence of infection, but I guess it has something to do with the anatomy of the area.
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what I want to know is, is there any chance that a sufficiently strong AB course with a long enough duration could actually clear this infection up permanently, or am I just better off pursuing removal ASAP?
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Thanks for posting this. FWIW, I've also been told that implants should not be done at the same time as orthognathic surgery due to higher infection risk.
Are any of your posts not doom and gloom, or ideas that are too late to implement because the person in question already got surgery?
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Are any of your posts not doom and gloom, or ideas that are too late to implement because the person in question already got surgery?
Nothing 'too late' about giving people a heads up on infection risks associated with implants at the same time as jaw cuts.
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Thats his clinical experience - 20% for medpor in that specific region, 10% of which resolved with antibiotics, other 10% necessitated removal. Another user relayed to me a Canadian maxfac similarly warned of a relatively high rate of infection for jaw angle medpor in his experience - 15%. Nothing to do with revision due to aesthetic concerns.
I'm not sure why this region would have a higher incidence of infection, but I guess it has something to do with the anatomy of the area.
If 20% infection rate for medpore is his clinical experience, then he has subjected you to a HIGH RISK of bone infection by doing bone cuts at same time as the implant. The US docs with more experience putting in those types of implants don't have those high rates which is why I thought the rate concerned people not liking the 'look' of the implants.
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what I want to know is, is there any chance that a sufficiently strong AB course with a long enough duration could actually clear this infection up permanently, or am I just better off pursuing removal ASAP?
It's probably more possible with direct lavage to the infected area. But you report your GP doesn't do that. Does Marianetti have an associate in your geo local to assist and/or can he intercede for you by giving a directive to another doctor as to how to proceed?
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PPSK, did any surgeon do a biopsy? This would've been very important to determine the type of bacteria-infection you're dealing with and which antibiotic actually is effective. They may well have put you on anbitioc that this type of bacteria that infested the infected area, is resistant to.[/b]
Yes that is very true! A guy had an infection just from having a BSSO with my surgeon, he had a biopsy sent to a lab to determine what the infection was, unfortunately it was serious enough that parts of his jaw had to be cut away and then the surgeon used part of his skull, ugh can't remember the right terminology but the bone near the brain, to rebuild his jaw.
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Are any of your posts not doom and gloom, or ideas that are too late to implement because the person in question already got surgery?
Well see if your posts are so positive post op. If it's feel good fantasy you want then you can always converse with Edoardo or whatever.
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Yes that is very true! A guy had an infection just from having a BSSO with my surgeon, he had a biopsy sent to a lab to determine what the infection was, unfortunately it was serious enough that parts of his jaw had to be cut away and then the surgeon used part of his skull, ugh can't remember the right terminology but the bone near the brain, to rebuild his jaw.
Well, ppsk reported that it subsided on one side and started up on the other. So, let's hope not as bad as spreading to both. But still, the objective would be to clear the infection on the other side as much as possible prior to removal process.
Agree. Biopsy is good protocol to narrow down the infective agent. With periodontal pathogens, some respond to some ABs, others not and require different ones.
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Yes that is very true! A guy had an infection just from having a BSSO with my surgeon, he had a biopsy sent to a lab to determine what the infection was, unfortunately it was serious enough that parts of his jaw had to be cut away and then the surgeon used part of his skull, ugh can't remember the right terminology but the bone near the brain, to rebuild his jaw.
Calverial bone.
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Calverial bone.
Yep lol that's it, unfortunately he will have to have the biopsy done private, British GPs or too ignorant on this sort of thing and also they are actually given incentives NOT to send people for cancer scans for saving money, so what hope does he have for a biopsy?
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Yep lol that's it, unfortunately he will have to have the biopsy done private, British GPs or too ignorant on this sort of thing and also they are actually given incentives NOT to send people for cancer scans for saving money, so what hope does he have for a biopsy?
You would be surprised.. A lot of docs even in the dental profession like to close ranks on the aspect of the periodontal pathogens escaping to infect entries via the mouth.
But yes, he will essentially have to advocate for himself to push for a biopsy. He said he was in Australia though.
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You would be surprised.. A lot of docs even in the dental profession like to close ranks on the aspect of the periodontal pathogens escaping to infect entries via the mouth.
But yes, he will essentially have to advocate for himself to push for a biopsy. He said he was in Australia though.
Ahh well from what I've heard, although Aussies pay to see their GP's, they get the same crappy service as UK GP's :(
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It seems unlikely the infection on one side is not related to the infection on the other side, and that PPSK had two areas that independently from each other got infected.
Probably just a matter of semantics as to word use; 'spreading' which to me means area of infection is getting larger; more spread out. Indeed the infection on one side would be related to the infective agent of the other.
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Well see if your posts are so positive post op. If it's feel good fantasy you want then you can always converse with Edoardo or whatever.
Good one.
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'Good one'? Lmfao. Guy is clueless.
I tell you what is a 'good one'. Half this forum have s**t results including the admin and are simply venting their spleens cos they are bitter and twisted about it.
Maybe if people with positive results got half the attention and airtime you nutjobs get the forum would be a better place.
Who the hell are you anyway? ;D
Inb4 GJ deletes this post and bans me due to his paranoia.
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Oh I'm clueless am I?
You're just a basic b*tch rhino patient, I've had CCW rotation + genio + cheekbone implants + brow bone implants you basic b*tch.
And I lived a year with my surgeon, oh but i forgot.... you shot the s**t with Edoardo, I'm sure he taught you more than 74 year old famous maxillofacial surgeon taught me.
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Wow that sounds so thrilling bro. Did he let you nosh him off in exchange for secret maxillofacial knowledge which you are now gracing this forum with?
I do share whatever I can remember where relevant. I'm sure that kind of humor is appreciated in lookism, where you probably hooked up with Edoardo. I don't even want to know what happened when you "shot the s**t" with him, for all I know that could be literal. Alright, Ilovethemoon is right I will stop contributing to the derailment of this thread now.
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OP,
Fly back to Rome to see marianetti. Don't waste your time with local surgeons.
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UKMaxFac's first post:
Can anyone please advise me? TYD here thanks
Thank you.
TYD is SJ name on other sites. He PMd me sticking up for SJ and pretending like he met him in the UK. Lol.
This will be one of those bans "for no reason", btw.
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UKMaxFac's first post:
TYD is SJ name on other sites. He PMd me sticking up for SJ and pretending like he met him in the UK. Lol.
This will be one of those bans "for no reason", btw.
Well this time I fully support the reason, I only spoke out against Lestat's ban. You are totally right to ban lookism sluthate types
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Ukmaxfac talked with me quite a bit about his case. He was not SJ.
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OP,
Fly back to Rome to see marianetti. Don't waste your time with local surgeons.
I appreciate what you're saying plosko, but its not that simple for me anymore.
I dont see any reason why a local surgeon who has installed medpor jaw angle implants, would not also be able to remove them.
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I appreciate what you're saying plosko, but its not that simple for me anymore.
I dont see any reason why a local surgeon who has installed medpor jaw angle implants, would not also be able to remove them.
For the same reason surgeons here don't like to revise jaw surgeries after someone else - "go back to your surgeon". I hope I'm proven wrong. Don't work on the assumption that they will help you i.e. see them ASAP and have plan B ready to go if they refuse.
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Ukmaxfac talked with me quite a bit about his case. He was not SJ.
Yeah, I saw his pictures. Not SJ.
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Ukmaxfac talked with me quite a bit about his case. He was not SJ.
Correct, double checked the account, and he used to go by Tumerican, who was also banned in 2015 (taunted a member about their nose).
Why he wrote "TYD here", I have no idea. Either way, he associated with SJ, lost his composure, and went after members yet again yesterday, so he's gone.
He already tried to re-register an account.
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I appreciate what you're saying plosko, but its not that simple for me anymore.
I dont see any reason why a local surgeon who has installed medpor jaw angle implants, would not also be able to remove them.
A lot of them feel like since they didnt place them they dont know exactly how it was done, if they mess up then liability goes to them etc
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Earl, i would like to ask you a question about dr. C.H. (regarding HA) but cannot contact you... :'(
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A lot of them feel like since they didnt place them they dont know exactly how it was done, if they mess up then liability goes to them etc
True and even more true if the local guy would not have placed them at same time as BSSO.
One exception could be if Marianetti has a connection with a local guy, you know, a colleague designated to attend to post op problems.
ppsk...does he have a designated doctor in your area to attend to post op issues?
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True and even more true if the local guy would not have placed them at same time as BSSO.
One exception could be if Marianetti has a connection with a local guy, you know, a colleague designated to attend to post op problems.
ppsk...does he have a designated doctor in your area to attend to post op issues?
Its best to back to the original doc. I agree with plosko. U might want to see if a doc can inject antobiotics righg onto thr implant ares
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True and even more true if the local guy would not have placed them at same time as BSSO.
One exception could be if Marianetti has a connection with a local guy, you know, a colleague designated to attend to post op problems.
ppsk...does he have a designated doctor in your area to attend to post op issues?
The worst scenario is if the original doc wont do it
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True and even more true if the local guy would not have placed them at same time as BSSO.
One exception could be if Marianetti has a connection with a local guy, you know, a colleague designated to attend to post op problems.
ppsk...does he have a designated doctor in your area to attend to post op issues?
Not sure, haven't actually contacted Marianetti about the infection yet. Was waiting till I see what my GP wants to do, he was talking about getting in touch with a local maxillofacial last time I saw him in case the antibiotics didn't work.
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Not sure, haven't actually contacted Marianetti about the infection yet. Was waiting till I see what my GP wants to do, he was talking about getting in touch with a local maxillofacial last time I saw him in case the antibiotics didn't work.
Well, you're still a patient of Marianetti. Having surgery and going home doesn't sever the doctor patient relationship. That is to say, if you have a post op problem from the surgery, you're entitled to seek advice and help directly from Dr. Marianetti and he's obliged to assist in some way.
Basically, you are acting as if you did something to sever the doctor patient relationship by not getting in touch with him directly for his help and advice where, of course, you did nothing to preclude him from helping you in some way.
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Well, you're still a patient of Marianetti. Having surgery and going home doesn't sever the doctor patient relationship. That is to say, if you have a post op problem from the surgery, you're entitled to seek advice and help directly from Dr. Marianetti and he's obliged to assist in some way.
Basically, you are acting as if you did something to sever the doctor patient relationship by not getting in touch with him directly for his help and advice where, of course, you did nothing to preclude him from helping you in some way.
well you're right, I don't know why I didn't just contact him straight away. I guess I was kind of being avoidant of the prospect of having to fly back to europe again for another surgery.
Anyway, I did contact him today and he told me to use a course of a much stronger combination of antibiotics (Dalacin and Ciproxin) for 10 days, and to contact him if it happens again after this. Hopefully my GP will submit to his greater, or at least more specific knowledge and just prescribe those for me when I request them.
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well you're right, I don't know why I didn't just contact him straight away. I guess I was kind of being avoidant of the prospect of having to fly back to europe again for another surgery.
Anyway, I did contact him today and he told me to use a course of a much stronger combination of antibiotics (Dalacin and Ciproxin) for 10 days, and to contact him if it happens again after this. Hopefully my GP will submit to his greater, or at least more specific knowledge and just prescribe those for me when I request them.
Did you phone or e mail? Try to do e mail contact too so the GP can see what he told you to request.
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Patients don’t always notice an infection around the tooth root or in the area of the periodontium (due to tooth decay or parodontitis) immediately, meaning that pathogens have a good opportunity to spread into the tissue (soft tissue or bones) and later, throughout the entire body. After an accident, a tooth removal or for other reasons, pathogens can also penetrate into the surrounding tissue or into the body via the bloodstream.
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Patients don’t always notice an infection around the tooth root or in the area of the periodontium (due to tooth decay or parodontitis) immediately, meaning that pathogens have a good opportunity to spread into the tissue (soft tissue or bones) and later, throughout the entire body. After an accident, a tooth removal or for other reasons, pathogens can also penetrate into the surrounding tissue or into the body via the bloodstream.
Yep very true and scary, a lot of the time you've no idea whether you have an infection there until it turns into osteomyelitis
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What happened op did your infection go away? Hope so
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so an update
I got prescribed Amoxicillin/clavulanic acid which is the same thing i had post-op (augmentin), but not as strong as the antibiotics Dr M put me on when i got infected at week 5... anyway, infection cleared up within a few days... few weeks later, I'm infected AGAIN, but on the opposite side this time.
I was just starting to really like the results too, I had underestimated the residual swelling from the bimax in the cheeks which was "blurring" the results for lack of a better description. I did a lot of reading about infected facial implants, the literature suggests that if medpor gets infected early post-op, removal is really the only treatment that works.
how long after your original surgery did the implants get infected?