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?
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.
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