Assessing Infection Risks After Tooth Extraction and Water Source Concerns

Q: Assessing Infection Risks After Tooth Extraction and Water Source Concerns

Hello, Sir： You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. <br>The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. <br>The time frame you mentioned is too long, as th

Infection probability

Hello, doctor.
I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity.
My family has always used well water for oral hygiene, and after the extractions, I continued to rinse my mouth with well water.
Recently, I came across information regarding Acanthamoeba and became concerned that my ongoing symptoms might be related to an infection from parasites, especially since doctors have only attributed my condition to anxiety and sleep issues.
Given my history of tooth extraction and the use of well water, what is the likelihood of contracting a parasitic infection? How can I determine if I have been infected? I am very anxious about this.
It has been almost two years since the extractions, and my symptoms of dizziness and nausea persist.
Is there a high probability of infection with Acanthamoeba or any other parasites?

Haipa, 30~39 year old female. Ask Date: 2022/04/03

Dr. Jiang Junyi reply Neurology

Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state.
The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days.
The time frame you mentioned is too long, as the disease progresses rapidly after onset.
Initial symptoms include headache, fever, nausea, and vomiting, followed by neck stiffness, seizures, altered consciousness, delirium, and coma, which are signs of encephalitis, with a mortality rate of about 99% after onset.
This disease primarily results from nasal cavity infections spreading to the brain.
The symptoms of "persistent dizziness and occasional nausea" may suggest a type of migraine.
Neurologists who specialize in headache medicine are more familiar with such conditions, and I recommend consulting one of these specialists.
However, due to the recent increase in COVID-19 cases, please ensure to practice self-protection, cleanliness, and disinfection before and after seeking medical care, and adhere to the new preventive measures.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2022/04/03

More Info

When it comes to assessing the risk of infection after dental procedures like tooth extraction, particularly in relation to using untreated water sources, it's important to understand the various factors involved. Your concerns about potential infections, especially from organisms like the Acanthamoeba or other parasites, are valid, especially given your ongoing symptoms of dizziness and nausea.

Firstly, regarding the risk of infection from using underground water after tooth extraction, it is crucial to note that untreated water can harbor various pathogens, including bacteria, viruses, and parasites. Acanthamoeba, for instance, is a free-living amoeba that can cause serious infections, particularly in immunocompromised individuals or those with open wounds. However, the likelihood of contracting such infections through oral rinsing is relatively low, especially if the water is not visibly contaminated and if you have not experienced any other symptoms indicative of a severe infection.

The symptoms you describe—persistent dizziness, nausea, and a feeling of mental fog—could be attributed to several factors. While it's understandable to worry about infections, these symptoms can also stem from anxiety, stress, or even post-operative complications unrelated to an infectious process. It's essential to consider other potential causes, such as dehydration, nutritional deficiencies, or even psychological factors like anxiety or depression, which can manifest physically.

To clarify whether you might have an infection, it would be advisable to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, blood tests, or imaging studies to rule out any underlying conditions. If there is a concern about parasitic infections, specific tests can be conducted to check for the presence of parasites in your system.

In terms of preventive measures, if you continue to use underground water, consider boiling it or using a filtration system to reduce the risk of exposure to harmful microorganisms. Additionally, maintaining good oral hygiene is crucial, especially after dental procedures. This includes using mouthwash or saline rinses to keep the extraction site clean and free from potential contaminants.

In summary, while the risk of contracting a parasitic infection from using untreated water after tooth extraction exists, it is relatively low, especially if you have not experienced any acute symptoms of infection such as fever, severe pain, or swelling. Your ongoing symptoms warrant further investigation to determine their cause, which may not necessarily be linked to an infection. Consulting with a healthcare provider will help you address your concerns and receive appropriate care.

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