Question: I got an inflammatory process on my gum, swollen, went to the dentist. He took a picture, said a cyst in the bone tissue at the root of the tooth. I had to make an incision and then resect. He referred me to an oral surgeon. The surgeon made an incision, there was also a fistula already, it was bleeding a lot. The surgeon was very embarrassed by this. Shouldn’t there be any bleeding? Then the bleeding stopped, the next day he looked at it, said everything was fine, put a swab of ointment. There is a drainage. I have no pains or anything like that. But there is still swelling. I am very worried about the swelling, it is not very pronounced, but it is there. Is it normal or not? What does it mean, that it bleeds when the inflammation is opened, is this normal or not? Why did the surgeon find this embarrassing? There is a temperature of 99F these two days. Before the autopsy there was a temperature of 100F. I take antibiotics. He said to take the drainage tube off in a couple of days and to take a computed tomography scan. Why do you need a comp scan, an x-ray is not enough? Does the x-ray show for sure that it is a cyst, or can it still be malignant? A lot of questionable questions. Surgeon says it doesn’t look like cancer symptoms. But the inflammation is serious. I would be grateful for the answer.
Answer: In your case, during an emergency, the dental surgeon must have worked in parallel with the dentist-therapist who must have opened the tooth cavity and come to the center of inflammation through the root canals, well expand and thus allow the exudate to drain through the root canals, wash copiously with antiseptic solutions and put medicine then close the tooth with a temporary filling, and only after that make the cut and place drainage, with antibiotics. As for the bleeding during the incision, it is normal because the oral mucosa is very well supplied with blood, and you also have a localized inflammatory process, which further provokes the blood supply as the body works purposefully to eliminate the inflammation. The fever should go down since you are taking antibiotics, it all depends on the dosage prescribed by the doctor, you may need a higher dose, you need to talk to your doctor. As for the CT scan, it is mandatory because it will clearly show the extent of inflammation and the reason for it. About the malignant education we can not talk as most likely the reason may be the incorrect endodontic treatment done earlier on the tooth, it may also be the reason that the tooth had a long period of time a cavity that had a connection with the pulp chamber and the nerve gradually died and now gives that clinical picture, also a completely healthy tooth may be but inflammation affected the neighboring tooth if there are any changes so there are many other reasons, it should run all you doctor so as he Don’t worry it’s not cancer.