I had a root canal preformed 3 1/2 weeks ago on a molar, with a crown, for an infection but not fully abscessed. This was not my first root canal so when I began excessive swelling within 6 hours after I knew something was not right. My Endodontist saw me that next morning and removed the temporary filling to allow for the infection/pus to escape. 4 hours later I was even more swollen and it the tissue became hard. After speaking with my general dentist, and 2 endodontist I was directed to seek an oral surgeon to perform an I & D. I was put on Clindamycin for antibiotic and Flagyl for antifungal, (salt water rinse 6x a day too), and told the infection had spread to my jawbone.
I finished the course for both meds over 2 weeks ago and at that time I still had a small lump, infection at the bottom of jaw directly under the molar. 3 days later swelling returned, also swelled and hardened inside on the gum. Oddly the swelling has moved to the front lower portion of my mouth now. Of course I am still numb on that lower quarter of my face as well.
I inquired with my endodontist about the swelling, hardening and it moving from back to front of mouth and he said he has never seen anything like it but is theorizing that die to all the trauma my jaw, gum and mouth experienced it will just take quite a while for this to clear up.
I am becoming worried that this infection is spreading throughout my jaw and tissue and that there will be permanent damage. I prepaid for this root canal therapy which obviously cannot be completed until infection is gone and cannot afford to go to another for a second opinion.
How concerned should I be that this infection will continue to spread and cause damage?
I think the proper person to follow up with may be the oral surgeon to manage the infection at this point and then after the swelling has gone down, I would follow up with the endodontist for the root canal completion. The oral surgeon will be the most capable of handling your infection and preventing it from spreading further although he can't do the root canal which would be the long term permanent treatment of the tooth.
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