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What Is Causing Infected Blister On My Gum?
Hi, I have a dental fistula for several months now, every now and then it allows to drain the puss through my gum.
Can I leave it like that or should I proceed with oral surgery as my dentist recommends.
The root canal procedure was done about 20 years ago but about 3 years ago this tooth started to give me problems, pain and infection that got untreatable with antibiotics till this fistula has developed and the pain is gone since then.
Can I leave it like that or should I proceed with oral surgery as my dentist recommends.
The root canal procedure was done about 20 years ago but about 3 years ago this tooth started to give me problems, pain and infection that got untreatable with antibiotics till this fistula has developed and the pain is gone since then.
Fri, 12 Sep 2014
Thanks for your query, I have gone through your query.
The pus discharging sinus tract can be secondary to the gum infection. Since you are giving history of previous RCT, it does not look like tooth infection. It can be secondary to deposits around the tooth or it can be secondary to infected residual cyst. Consult a oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If it is a gum infection, then get your teeth cleaned(incision and drainage along with scaling and root planing).
If it is because of infected radicular cyst, then get the cyst enucleated.
Get the tooth treated as early as possible because if the infection spreads, it can involve bone and result in osteomyelitis.
I hope my answer will help you, take care.
The pus discharging sinus tract can be secondary to the gum infection. Since you are giving history of previous RCT, it does not look like tooth infection. It can be secondary to deposits around the tooth or it can be secondary to infected residual cyst. Consult a oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If it is a gum infection, then get your teeth cleaned(incision and drainage along with scaling and root planing).
If it is because of infected radicular cyst, then get the cyst enucleated.
Get the tooth treated as early as possible because if the infection spreads, it can involve bone and result in osteomyelitis.
I hope my answer will help you, take care.
I find this answer helpful
Hi! Greetings to you.
It is not advisable to have a fistula for this long time. Though it relieves your pain the underlying infection may get worsened if not treated and might end up in complications. It is best recommended to proceed with the surgical procedure and remove the source of infection be it the root canal treated tooth. You can always go for replacements once the socket is healed. There are lots of options available. Meanwhile till your appointment with the dentist do warm saline gargle as often as you can.
Regards,
Dr. Ramprasad
It is not advisable to have a fistula for this long time. Though it relieves your pain the underlying infection may get worsened if not treated and might end up in complications. It is best recommended to proceed with the surgical procedure and remove the source of infection be it the root canal treated tooth. You can always go for replacements once the socket is healed. There are lots of options available. Meanwhile till your appointment with the dentist do warm saline gargle as often as you can.
Regards,
Dr. Ramprasad
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