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Foul smell in mouth, yellow cotton stuffing, filling came out loose with foul smell. Had four fillings. Advise?

A little over a year ago I went to have some dental work done. Growing up I had not insurance and had been to a dentist once in my 26 years. Last year it had been nearly 18 years. They were amazed I did not have even worse problems. I was able to afford half the work I needed at the time which was 4 fillings. I had a tooth that had been worked on and after about a month developed a large infection. Face totally swelled up. Went back and they had to cut into the gum to drain. She had removed the filling and refilled it. She never mentioned to me the need to come back in the near future. About a month later I was eating a baked potato chip and part of the tooth broke off and part of the filling came out. Months later I began to notice a foul smell in my mouth and noticed the rest of the filling was loose. I tugged it out and out came a bunch of cotton stuffing that was yellow and disgusting smelling. The filling was also this porous white material which smelt just awful as well. I've had this huge hole in my tooth for over a year now. No problems with it as I make sure to clean it out after every eating. I don't understand if that was a normal filling or what the dentist had planned for the tooth.
Asked On : Fri, 26 Apr 2013
Answers:  5 Views:  466
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Dentist 's  Response

Thanks for asking the query,

According to your history i suspect that a temporary filling with a medicated piece of cotton was given to you which came out. You probably have developed pus in the tooth, foul smell is due to the food lodgement and pus accumulation.
Such an abscessed tooth is indicated for Root canal treatment to save it permanently. I would suggest you to visit the Dentist and get the checkup done, take an x-ray of the tooth.
Go for symptomatic treatment of complete mouth scaling and polishing.
Take complete course of antibiotics and analgesics.
Maintain a good oral hygiene, use antiseptic mouthrinses twice daily.

Hope this helps out.

Answered: Sat, 27 Apr 2013
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Dentist Dr. Benley George's  Response
You had an infected tooth treated by your dentist. The dentist had done an emergency treatment which is Incision and Drainage for relieving the infection and for the infection to subside. The dentist performed the first step of Root canal treatment where the infected pulp was removed and a closed dressing was placed. The second step would have completed the treatment. Now it seems the infection is still present and your dentist should disinfect the root canals and complete the root canal. After the root canal treatment is over you should get the tooth capped otherwise the tooth will fracture off. Consult your dentist immediately.

Answered: Fri, 26 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for posting your query.
Your filling which has fractured actually needs root canal treatment.
Yellow pus which drains from the open cavity is the abscess developed at the periapical area.
Please do visit your dentist soon and get root canal treatment done.
Pus has to be drained and curetted completely.
Maintain good oral hygiene.
Take complete course of antibiotics.
Rinse your mouth after every meals.
Use chorhexidine mouthrinse to gargle.
Take care.
Answered: Fri, 26 Apr 2013
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Dentist Dr. Tarush Thakur's  Response
As much i understood from your history, i think the caries was chronic and quiet close to the pulp (living tissue in the tooth). As a standard treatment filling was done for that. Unfortunately the infection did not subside and filling done closed all outlets leading to swelling. Finally swelling was brought down by draining and releasing the pressure built inside.

Now your dentist has given you a temporary dressing with a medicated cotton placed inside, which came out. It would be recommended that you should visit your dentist again for a root canal treatment of that tooth and have a crown placed after that. As a matter of fact the tooth might already have become quiet prone to fracture. It is not advised to keep the cavity unfilled in your tooth, even though you clean it every time.

The bad smell might be because of the degrading food lodged at that place or an active infection. please visit a dentist at the earliest.

Stay healthy
Thank you.

Answered: Fri, 26 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM, the dentist and get an x-r
Thanks for writing to us.
foul yellow and disgusting smell is coming from an infected tooth.
visit the dentist and get a x-ray done.
I would suggest you to-
get scaling and root planning done.
bone grafting and splinting has to be done in case of bone loss.
maintain good oral hygiene.The abscess has to be drained and curetted.
Meanwhile,avoid intake of hot/spicy/cold foods.
Brush your teeth using soft-bristled toothbrush.
Hope this helps you.
Wishing you good health...
Answered: Sat, 27 Apr 2013
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