Dentaltown April 2021 - 25
message board
Huge Abscess Still Draining
1 Month After Extraction
In this classic thread, a routine extraction turns into a worrying, monthslong journey for this Townie and his patient
Had a patient come in for an emergency toothache, #7. Very large abscess with palatal
swelling. I performed a simple extraction, curetted as much as I could and drained the swelling
through the socket, then dismissed the patient.
She returned four weeks later, and the abscess was still present and still draining through a
fistula on the socket. No palatal swelling present.
mickeyt107
Member Since: 02/18/15
Post: 1 of 88
Preop.
Four-week follow-up.
I prescribed her 10 days of Augmentin and have her coming back in three weeks. Due to
the size of the abscess, I advised her it may require referral to OSX to flap and curettage. What
should I be looking for when she returns, and how should this be handled going forward? ■
9/29/2015
That looks like more than just an abscess to me. The borders are too well defined. It almost
looks cystic-that or you have a major sinus issue now. I'd definitely refer that one to the oral
surgeon today. ■
cmcalderwood
Member Since: 12/14/05
Post: 2 of 88
9/29/2015
That multiloculated appearance makes me think ameloblastoma. I would agree with previous posters to get her to a OMFS as soon as possible for an evaluation. Curious to know why
you extracted the tooth. ■
danamc
Member Since: 02/15/04
Post: 6 of 88
9/29/2015
If you took a pan that day you would have seen it more than likely. I have done this myself.
#7 problem was decay, but the roots of all of those teeth seem to be touching a huge lesion, not
coming from the teeth. ■
drlister
Member Since: 06/22/05
Post: 10 of 88
9/29/2015
dentaltown.com \\ APRIL 2021
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Dentaltown April 2021
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