Oral and Maxillofacial Surgery Expert Forum
fistula
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Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

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fistula

HI,  I was just wondering how long you can remain with a fistula.  I have had a root canal and apico.  A fistula developed 3 months after apico.  I have gone to 2 oral surgeons who say it is up to me whether or not to redo the apico.  Neither gave me a time line as to how long I need to decide.  I have had xrays but no one has told me if the infection is active.  How would I know if it is traveling through  my body?
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I would never advise any patient with a fistulae to delay treatment.  The fistulae is a sign of an active infectious process.  It is possible for the infection to spread to adjacent teeth and vital structures.  

Generally speaking, the long term prognosis of a tooth which has had a failed root canal and failed apicoectomy is very poor.

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
Caldwell, NJ
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