Jaw osteomyelitis

Posted by k245888 @k245888, Jul 11, 2019

I am about to undergo my 3rd jaw debridement for osteomyelitis. Started with a cracked tooth as a result from root canal. Spread to neighboring molar and now missing two. I’ve had two debridements along with 2 PICC lines without resolution. Wondering if there’s another way to treat this

Hello @k245888, welcome to Connect. I'd like to introduce a few members who have talked about osteomyelitis here on Connect, albeit different areas of the body. @konniehoover, @carole1, @pmaze2663 have all discussed osteomyelitis on Connect in the past and I am inviting them back to Connect to share their experiences with treatment and management.

@k245888, you mention that you have already had two debridements along with 2 PICC lines with antibiotics that have been unsuccessful. If you are comfortable sharing, has your provider identified the type of bacteria/germ that has infected your bones? Here is what Mayo Clinic has to say as far as treatment for myelitis, https://www.mayoclinic.org/diseases-conditions/osteomyelitis/diagnosis-treatment/drc-20375917, which sounds similar to the path your current provider has taken.

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Hi Mr. McClanahan, thank you so much for taking the time to write. There has never been an organism identified. What I didn’t mention in my post was that I had what was eventually diagnosed as osteomyelitis in my heel about 18 years ago. Over a 10 year period I had 3 debridements without antibiotics, 2 without a graft and 1 with an allograft. None of those treatments helped long term. No organism ever grew at that time either. The treatment that ultimately worked was a more aggressive debridement with an antiobiotic filled cement spacer, later replaced with an autograft. I was told by my current maxillofacial doctor that that’s not an option in the jaw. Thanks again for your interest, I will check out the website you mentioned.

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