Is my left-sided jaw pain a dental abscess complication?

Hi,

Welcome to icliniq.com.

I read your query and will be answering it shortly.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Let me know if your gums are bleeding or if you need a prescription for pain and pressure.

I hope this helps.

Take care.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern. I was also thinking of a deep gum infection. The infection of the gums will not be visible on an X-ray. It is just a two-dimensional view of your teeth and jawbone. However, I can see a lot of bone loss from the attached image (attachment removed to protect the patient's identity) because you have lost several teeth, like the upper molars and the lower second molar, so there will be bone loss. This bone loss can lead to granulomas or gum infections because the gums are constantly exposed to the outer environment.

Please start lukewarm salt water rinsing five to six times a day. That will help reduce your swelling. Also, if you are already on antibiotics, then this pain indicates you still are not rid of the infection. I suggest Metrohex gel (Metronidazole oral gel) for gum application. Start Chlorhexidine mouthwash regularly. Consult a specialist doctor, discuss with them, and take medications with their consent.

You can also consult your dentist about cast partial dentures (CPD) instead of getting an implant in the left jaw's upper or lower arch. That is because you have a high risk of implant failure from my point of view. After all, you have a persisting gum infection. A CPD is better than a removable denture, so you can go for that. You can ask me anytime if you have any further doubts or queries about implants, dentures, or gum infections.

I hope it helps.

Thank you.

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Do you have any reports of sinus floor elevation or flap surgery? Because if your bone density is fine there, then there is no issue in going for an implant. But a hybrid bridge is better because now you have another round of gum infection.

Visual inspection is always better for determining cavities. If you have any cone beam computed tomography (CBCT) scans or any three-dimensional (3-D) scans, check and let me know. That would be a more helpful record in determining your tooth condition than the orthopantomogram (OPG). You can ask the dentist to check your teeth once again when you visit next time for cavities.

If you have any previous records of your sinus surgery in written form or X-rays like CBCT, you can forward me, and I can give you the exact picture of what you need.

I hope this helps you.

Take care.

Hi,

Welcome back to icliniq.com.

I will study the reports and get back to you shortly.

Thank you.

Hi,

Welcome back to icliniq.

The sinus looks fine and the OPG too. Can you exactly let me know from which upper or lower right or left tooth you are now getting this relapse in pain? Can you pinpoint the tooth that is aching or are you just getting generalized pain in that area? Let me analyze your OPG again and then tell you if any teeth are pending for root canal.

Let me know the region of tooth pain.

I hope this helps you.

Take care.

Hi,

Welcome back to icliniq.com.

Yes, it may be because there is no problem with your tooth as such, now that I am again restudying the boundaries of the sinus in the upper left side, looks like a mild gum infection there. In fact, you even said you got an incision drainage done there right? For some reason of unknown origin, the infection there is relapsing. You will need to consult a maxillofacial surgeon specifically in the clinic if this keeps repeating again and again.

But I would suggest that the best remedy is you start with a 3-day course of antibiotics and painkillers every time you get pain in that area. Take a capsule of Augmed 625 mg (Augmentin) and a tablet of Dolokind plus twice a day after breakfast and after dinner. But in my opinion as a surgeon, you should not go for a dental implant till this Infection subsides completely.

So I would suggest you right now to start with the antibiotic course for three days and then consult your surgeon in the clinic so that he will examine the area in the clinic because the infection of the gum is clearly seen on the upper left side where the molar is missing. Only after the infection subsides go for a dental implant for the upper left molar.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

On the X-ray today, it seems very mild or negligible (attachment removed to protect the patient's identity). I can see clearly on the OPG and also your symptom of pain on the upper left side is matching with the small-sized ball of infection there. So it looks like a recurrent infection.

Please start with the antibiotic course and then visit the maxillofacial surgeon. After you get the implant done or before, do let me know what steps they have suggested so you have a second opinion for safety.

I hope this helps.

Thank you.