Re: Rumor has it...
- From: clintonz@xxxxxxxxxxx
- Date: 30 Apr 2005 10:59:38 -0700
..
> >
>
> Interesting history--thanks for sharing it.
> There are a lot of metabolic bone diseases that probably fly under
the
> usual radar. I'm not able to comment on whether mercury or copper
> deposition may have been a factor in your case, but clearly there is
a
An additional comment. Basically, the problem filling was on
tooth 3 and 4, which was very near the infected areas of
the maxilla. I have the original x-ray's of the filling around
here somewhere which I will post if I can find them and scan
them in. There is no question in my mind that whatever is happening in
the jaw was precipitated by the filling and I don't
have any indication of a metabolic disorder. In fact I have one image
on the CT disk which shows what appears to be a tunnel going from some
of these teeth up into the jaw bone.
Also, many other people with chronic OM feel that the cause
is staph or psuedococci?, that are normally considered
normal flora, but get into the bone where they shouldn't
be as a result of physical or chemical trauma. In fact, all these
things are true of OM in the leg, so even from that standpoint it seems
likely that a simmilar disease process can exist in the jaw.
> whole spectrum of conditions that may be recognized as metabolic
> (osseous dysplasia) or of uncertain pathogenesis, incl. the
compromised
> bone metabolism seen with bis-phosphonate use. I agree that because
of
> the differing training seen with different specialties, one or
another
> may be more inclined to lean a certain way in the differential
> diagnosis, and mistakes are certainly made.
> I personally know a woman who developed shoulder girdle pain a
couple
> of years ago. She had a hx of breast ca, surgery and radiotherapy
about
> 25 years before. After multiple radiographic studies the concensus
was
> metastatic ca, but after opening sugically all that was seen was
> degenerated bone, and then the presumptive diagnosis was
> osteoradionecrosis. Two years later she suddenly developed chest
pain,
> and studies now reveal a pathological rib fracture. No one is
sticking
> their neck out now for a diagnosis. We'll have to see.
> These situations are frustrating for most clinicians. I can only
> imagine how patients must feel.
>
> Steve
>
> --
> Mark & Steven Bornfeld DDS
> http://www.dentaltwins.com
> Brooklyn, NY
> 718-258-5001
.
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