Hi Young9,
Antibiotics cannot cure the infection of a decaying tooth. Although it is seldom, it is possible for a tooth abscess to form without anything occurring with the gum.
The symptoms you stated about the pressure building up, bursting and then sinus discharge may indicate that the infection has spread from the tooth into your sinus. When the inflammation from the infection builds up, you will get pressure and pain. As the bacteria releases itself, into the tissue or the sinus, you will get relief.
You can rinse 3-4 times a day with warm salt water to encourage the infection to drain from the tooth and then spit out each time you rinse. Just so you know, this is a bad infection so please do not wait to have this tooth extracted, even if it feels better.
It is wise to have an oral surgeon remove this tooth rather than an general dentist. The OS is more knowledgeable and experienced with these types of infections and will know to look for a sinus perforation and determine if it needs to be taken care of. It would behoove you to request that the surgeon remove all visible infection and all diseased tissue and bone after he takes out the tooth and purposely look for sinus involvement. You should never assume that a dentist is going to be thorough in their dentistry because they often do things in a haste. So to reassure yourself of a more profound outcome, speak up and let your concerns and requests be known.
Please check in with us to let us know how you are doing.
Bryanna
Quote:
Originally Posted by Young9
I have quite the problem going on. I have a deep cavity on my upper left first molar and am having it pulled on Thursday. It has to be done by an oral surgeon because the dentist thought it was too close to the sinus cavity for him to handle. I was prescribed a z-pack & sent home until the extraction date. Well I finished the z-pack but I'm not sure it worked.
My question is, is it possible for an abcess to not form on the gum but still be there? On Friday night the pain was so severe I was bawling on the couch and almost went to the ER. Then suddenly like a switch, the pain was gone. I fell asleep but when I woke up the next morning and since I have felt like there is draining from my sinuses. Could the abscess have somehow burst through my sinus?
The pain & feeling of pressure now comes and goes instead of being constant. My dentist is out of town due to the holiday. I'm not sure what to do. I think I need different antibiotics & I'm scared by Tuesday this could be really bad.
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