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Has brown and smelly discharge from his sinuses. Had tooth removed and took Penicillin. Remedy?

Two weeks ago, my husband had to make an emergency visit to our dentist b/c of a severe ache in his wisdom tooth . He was prescribed penicillin and sent to an oral surgeon for an evaluation. He will be having his wisdom teeth removed in about 2 weeks. In the meantime, he has finished his penicillin and is now having brown, extremely foul smelling discharge from his sinuses every morning. Is this something that we need to go back to the dentist immediately for, or is it normal for the infection from the wisdom tooth to drain out through the sinuses? I think he needs to go back to the dr., but he seems to think it will be ok to wait. We do have a rx for amoxicillin that he is to begin taking 24 hours prior to the oral surgery .
Asked On : Fri, 22 Feb 2013
Answers:  2 Views:  96
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Dentist 's  Response
hi and welcome ,
After reading your history i suspect the wisdom tooth you are talking about is of upper jaw.
Infection in the wisdom tooth like formation of periodontal abscess may spread to adjacent teeth and some times to maxillary sinus.
Infected and swollen sinus may drain thick and discoloured mucus.
excess mucus may run down the throat known as post nasal drip .
the mucus drip may plug into sinus spaces leading to sinus infection.
i would suggest you to get an OPG radiograph done to confirm the sinus infection ,accordingly treatment can be planned.
Get the infected wisdom tooth extracted , sinus infection can be treated effectively by antibiotic coverage.
i hope this helps,
take care.
Answered: Sat, 23 Feb 2013
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Dentist Dr. Anshumala Singh's  Response
dear friend
thanx for sharing your concern,
as you know your husband has impacted third molar which has developed an abscess over it .
remember an abscess is infectious consisting of loads of bacteria , bacterial toxins, debries , and purulent materials (PUS).

abscess is cured by drainage followed by antibiotic treatment , only antibiotic does not help much in case of dental treatment.

you have found brown extremely foul smelling discharge is nothing but pus oozing out from the abscess in relation to third molar . this can lead to infection in the surrounding spaces too.

therefore i would suggest you to visit your dentist, get started with a new course of antibiotic and analgesic. under its coverage , you can go for a minor surgical procedure for extraction of third

taking a course of antibiotic might subside your problem now , but this is not the permanent cure.
in this case , an impacted third molar has to be surgically removed for permanent solution.

this should help
Answered: Sat, 23 Feb 2013
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