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Question:
About 10-12 yrs ago, my dentist sent me to an endodontist for a consult after he noticed a fistula on my gum, which was small but pussy and draining. Endodontist found tooth was not dead, did all the tests, and said I did not need a root canal. This is a chronic abcess that will flare up off and on over the years..Have been to 4 different dentists, plus the endodontist and all have just given me Augmentin, Tetracycline, and drained abcess. Have also been to 2 different family doctors recently (thinking maybe its not a dental problem) and they both said it was an apthous ulcer. One gave me Magic Mouthwash, the other Keflex. Went to my regular dentist last week for a cleaning, showed him fistula, he took an xray (which showed nothing he could see with tooth), and am now on Keflex for 10 days. My tooth where fistula is above does not now and never has hurt. I have no pain on biting, chewing etc. Tooth is not discolored nor loose after all these years. It does have a filling, which was done 15 yrs ago. It is a back molar upper tooth. My gum is off and on draining and sore though. Who should I see next for a consult? I was thinking of seeing an oral surgeon. Don't really know if it is a tooth or gum problem, but it hasn't changed any in 12 yrs! It is just annoying when it flares up! ...Visitor from PA
Answer:
There's definitely something wrong, but taking a lot of antibiotics at this stage is not the best treatment.
Go to an oral surgeon. As a last resort, he may suggest exploratory surgery to find the source of the infection.
If antibiotics and the body's natural defenses were going to work, it would have done so by now. It's time to be a bit more aggressive.
Editorial Staff
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