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Have terrible sinuses, sore throat, infections. Filled in back teeth, had lump on roof of mouth. Had amoxicillin. Is it dental or sinus related?

I have terrible sinuses. I get frequent infections, particularly in tr maxillary sinuses. However, I had a filling in one of my top, back left teeth Thursday. I already had sore throat when I went in. My throat has become increasingly painful and over the course of today (Friday) I notice a marble size lump on the roof of my mouth toward my top right furthest back molar. The prompt care dr said it is an abscess and sent me to the ER, BUT I called the dentist on call before going to the ER and she told me NOT to go to ER and gave me Amoxicillin 500mg TIDx7d. How can I tell I it's dental or sinus related??
Asked On : Tue, 30 Apr 2013
Answers:  7 Views:  65
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Dentist 's  Response
Hello there ,

Thanks for writing your query,

Lumps seen in the oral cavity can be of various types . It can be due to infective lesions related to tooth like periodontal abscess or gingival abscess draining in the oral cavity.

According to your clinical history i suspect your upper tooth which has already got a fillling has got infection that has spread to the palatal area leading to formation of abscess in the form of lump.

exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.

i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned .

consult an oral surgeon and get the examination done .

i hope this helps ,

take care.
Answered: Tue, 30 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query.
The abscess is developed from the periapical infection of tooth due to dental caries.
I would suggest you to get the abscess drained and root canal treatment can be done if required.
Take complete course of antibiotics too.
Maintain good oral hygiene.
If the abscess is left untreated,it can progress into sinus infections.
Please do visit your dentist and get further treatments done.
Frequent warm saline gargle can relieve infection.
Take care.
Answered: Tue, 30 Apr 2013
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Dentist Dr. Benley George's  Response
Hello,
It seems that the molar tooth of your is infected and it has resulted in an abscess. Pl take the antibiotics as prescribed and get an x ray done of the tooth which will reveal the presence of infection over the root of the tooth. The tooth should be root canal treated at the earliest. Use warm saline gargle 3-4 times for 1 week. Consult your dentist at the earliest.
Answered: Tue, 30 Apr 2013
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1 Doctor agrees with this answer

Dentist Dr. Shefali Gupta's  Response
Hi ,

Thanks for asking query,

You have filling done is on your left side if you have infection due to this it would be first infecting the adjacent area,as you said you have frequent sinusitis it seems that lump could be because of that ,for clear diagnosis you should go for clinical check up and radiograph of that area done.Until then you should take prescribed course of tab amoxclav,analgesic and gargle with warm saline water.
Answered: Wed, 1 May 2013
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

According to your clinical history i suppose that upper tooth which has already got a filling has got infection that has spread in the palatal area leading to formation of lump.

I would suggest you to get a thorough clinical examination take an OPG radiograph which will help in exact diagnosis and accordingly treatment can be planned.

Drainage of abscess is required, take a course of antibiotics ans analgesic.
Maintain a good oral hygiene, use lukewarm saline and antiseptic mouthwash rinses.

Hope this helps out.

Regards..
Answered: Tue, 30 Apr 2013
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3 Doctors agree with this answer

Dentist Dr. Tarush Thakur's  Response
Hi,
Thanks for writing,

It is clear that you went for a filling on your upper LEFT side back tooth and got a lump near upper RIGHT side back tooth. In case of a infection spreading due to that tooth, the abscess should have been formed near the tooth or adjacent to it. And in any case if it was just a normal filling, there is very less chance for a abscess to form.

Further as you have stated you get frequent infections of the sinuses and you also had a sore throat i suspect it to be other than dental origin. Whatever the case, antibiotics are the prime treatment care methods and i suggest you to continue with the amox for the prescribed period. In case after the course you still feel the symptoms, you can consult a physician.

Stay healthy
Thank you.
Answered: Tue, 30 Apr 2013
I find this answer helpful
Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query.
The abscess is developed from the periapical infection of tooth due to dental caries.
I would suggest you to get the abscess drained and root canal treatment can be done if required.
Take complete course of antibiotics too.
Maintain good oral hygiene.
If the abscess is left untreated,it can progress into sinus infections.
Please do visit your dentist and get further treatments done.
Frequent warm saline gargle can relieve infection.
Take care.
Answered: Tue, 30 Apr 2013
I find this answer helpful
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