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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen And Painful Gums After Wisdom Tooth Removal

I had a wisdom tooth. ( upper left) and neighbouring molar extracted due to a large absess 8 months ago. I have noticed a swelling in my very upper gum, nasty discharge at the back of my throat and a terrible throbbing pain. It reached the extent I have had 3 sinus infections in the last 2 months and my gum oozes a nasty yellow discharge when I press on the swelling. This would come out where the wisdom tooth was extracted. An oral surgeon told me I was badly infected and had a condition oroantral fistula and drained a lot of pus, told me my sinus was badly affected and the bone was soft due to infection. I am now left stitched and in absolute agony due to see her next week. Is this normal to be so painful, swollen on my left side of face barely able to open my jaw. Again I have been put on a week s course of doxycycline. I haven t felt pain in my mouth like this before. Please advise ? Joe
Mon, 23 Mar 2015
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query. I have gone through your query.
As far as the oroantral fistula is concerned, the swelling, limited mouth opening and pain is because of the infection secondary to this oroantral fistula. Nothing to be panic, consult a oral and maxillofacial surgeon and get it treated surgically. Medicines cannot cure this, medicines are temporary solution. So get it treated surgically. Mean while you can take a course of antibiotics like amoxycillin and metronidazole combination (if you are not allergic).
I hope I have answered your query. Take care.
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Suggest Treatment For Swollen And Painful Gums After Wisdom Tooth Removal

Thanks for your query. I have gone through your query. As far as the oroantral fistula is concerned, the swelling, limited mouth opening and pain is because of the infection secondary to this oroantral fistula. Nothing to be panic, consult a oral and maxillofacial surgeon and get it treated surgically. Medicines cannot cure this, medicines are temporary solution. So get it treated surgically. Mean while you can take a course of antibiotics like amoxycillin and metronidazole combination (if you are not allergic). I hope I have answered your query. Take care.