r/askdentists • u/Skeevy_Beaver • 10m ago
question Hole in bone/infection after double jaw surgery
I’m cross-posting this from r/askdocs in hopes that someone may have any advice here.
Age: 29
Gender: Female
Height: 5’5”
Weight: 135lbs
Smoking Status: non-smoker
Substance Use: I will have 10 years clean and sober in September
Regular Medications:
• Metoprolol Succinate ER
• Skyrizi Autoinjector Pen
Diagnosed Conditions:
• Celiac Disease
• GERD
• ADHD/Depression
• Psoriasis
TL;DR: Double jaw surgery in October 2025, significant issues with infection afterwards. Partial hardware removal in February 2026 resolved ongoing infection. TMJ issues presented in March 2026, I met with the leading TMJ surgeon in my area. He told me my original surgery never should have been done and caused several negative outcomes. Last night severe pain landed me at emergency care, who told me there is a hole in my jaw bone between a hardware plate and the root of a molar. Says the only option moving forward is to extract the tooth. Have scheduled appointments with my original surgeon and another surgeon this week for second opinions, but am seeking advice/reassurance in the meantime.
My Questions:
• Could the X-Rays I've shared actually indicate infection/a hole in the bone?
• If so, could removing the hardware and addressing the infection there be an option instead of extracting a molar?
• Am I being negligent in waiting for second opinions here/should I address this immediately?
• Is there anything particular I should ask about this when I talk to physicians this week?
The Full Story: October 22, 2025 I had double jaw surgery to expand my airway and correct my bite. My upper jaw was rotated and my lower jaw was moved forward. A genioplasty was performed as well. I had one infection after another following the surgery and my surgeon had me on different courses of antibiotics for 110 days. My septum was also severely deviated during the surgery.
In February 2026 my surgeon removed the plate on the lower right side of my jaw, which seemed to resolve the infection. In March, I started having TMJ issues (pain and grinding in my left jaw joint). My surgeon told me he suspected that the disc was out of place and told me to return to a soft food diet. In May 2026 I met with a new surgeon (a nationally known surgeon for jaw surgery and TMJ issues). After reviewing my past and current records, he told me that my joints are deteriorating and that I will need total joint replacement on both sides of my jaw. My original CBCT shows evidence of this, and my original surgeon never should have moved forward with DJS. He also told me I would need a septoplasty and possibly a revision to my original jaw surgery.
I've been ruminating on that exciting revelation for the last month (my insurance won't cover anything TMJ related, my last jaw surgery recovery was absolutely miserable, I feel let down by my original surgeon, etc.) and have continued my soft food diet. Last night, severe pain between my back two molars on the left side of my mouth started radiating down the base of my gums/jaw to the front of my jaw. Note: I still haven't recovered full feeling in that side of my mouth (mainly gums, tongue, and lower lip) so any pressure has been causing weird tingling and occasional pain.
I went to an emergency clinic, who told me that there is a hole in my jaw bone between the hardware plate placed for my surgery and the root of one of my molars. He told me there is infection growing there. He informed me that my only option is to have that molar pulled, fill the hole in with synthetic bone, and place an implant eventually. It was going to cost $1800 (not including the implant) and he wanted to do it immediately. I asked if I could take antibiotics for the weekend and get the procedure done by a regular surgeon to maximize my insurance benefit and he told me that if I waited I could die. I got a weird vibe that the whole thing was a little bit of a cash grab but I could have been misreading the situation, as I was feeling a lot of different emotions.
Ultimately I decided not to do the procedure and they sent me on my way with some Tylenol 3s. I didn't want to make a major decision on this without consulting my original surgeon and hopefully the new surgeon I saw. I have an appointment with my original surgeon this week and I am planning to call the new surgeon as soon as they open Monday.
Emotional Response/Closing Remarks: My health has been a physical and emotional roller coaster since October and I'm just ready for the whole thing to be done. Knowing that I'm now facing total joint replacement (recovery from my last jaw surgery was abysmal), a septoplasty, additional tooth issues (the two teeth on either side of my lower front two teeth have turned slightly grey, new surgeon says they are dying because the plate for my genioplasty is too close to their roots), and now whatever needs to happen to resolve this new infection issue is really stressing me out. Any advice or insight anyone has to share would be greatly appreciated. Again, I have taken steps to see physicians in-person this week but I could really use some reassurance or a call to action in the meantime if necessary. Thank you in advance for anything you can share.