Re: After Periodontal Surgery, Still Looks Infected

Frank L wrote:
Thanks as always. I remember you had said that if it's an abscess caused
by a root fracture, it may come back after discontinuing the antibiotic
(amoxycillin). I have been off that for 2 weeks so I am concerned that
something came back, even though it was determined that I didn't have a
fractured root.

As I said, I am on doxycycline but I don't think that works if this were
an infection from the old root canal, which is still my fear. I am also
wondering why neither dentist probed the fistula with a concurrent x-ray
to see where it's coming from, which was mentioned here and I keep
reading about. Who would do this? A periodontist, endodontist or general
dentist? I am wondering if I should still have this done if this spot
remains.

Any of them should be able to do this, but you don't appear to have a fistula at this point, and as the area has already been surgerized I think it is well-established by now that the canine is the offending tooth. Could there be other teeth involved in this lesion? I suppose it is possible, but not likely. I'd wait for further healing from the surgery to go looking for other problems.

I do plan to go in tomorrow, or call and have him take a look at it. I
hope it is what you said, connective tissue...can that appear yellowish?
What bugs me out is that it's about in the same place as the fistula
was, only this time it's right at the margin where some gum was cut away
(I can see more of the gold on the crown).

Another question...maybe I am focusing on this since I have had this on
both sides before, but that side of my nose hurts at times. Can a sinus
infection present itself with a fistula on the gum as I had?

I suppose it is possible, but I haven't seen it. And your symptoms sound more consistent with a dental problem.

Steve



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--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
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