Can a dental abscess with a fistula spread to bone and brain?

Question

Hello doctor,

I have two abscesses in my mouth. Both have fistulas and I drain them every day. I am in constant worry that the infection will spread to my bone or brain. I have no pain and I doing coconut oil pulling. I initially took antibiotics but did not take when the fistula appeared. What can be done? Kindly help.

Thank you.

Answer 1

Hello,

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If you drain the abscesses daily then the chances of spreading are less but as the source of infection is not removed, it can flare up anytime. But do not worry as it does not spread to the brain so early. It is a rare incident. It is better to consult a dentist and get yourself evaluated and an X-ray of the teeth should be taken. If the teeth can be saved, then root canal treatment can be done. If there is gross decay then extraction is advisable. This should be followed by antibiotics and painkillers.

I hope this helps you.

Thank you.