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Dental puss store in palate
I had a dental infection. My dentist drilled the tooth, drained the pus, and started antibiotics (Amoxicillin + Clavulanic Acid and Metronidazole) for 5 days. And warm salt water rinse in 5-6 times in day, The next day, swelling/pus appeared and seems to have collected in the palate. I have no fever now, and after 72 hours of antibiotics the fever has not returned, but the palate remains swollen and very painful, possibly due to trapped pus. The pus is not draining on its own. Can the pus drain or be absorbed naturally with antibiotics, or does it usually require professional drainage?
How many days can the palatal swelling and pain take to completely resolve?
Answers (6)
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If there is a pus it needs to be drained. Doing that with medication is going to be a long process and not recommend. Best is to visit the dentist and get it drained.
Next Steps
Get it drained. The antibiotic will work better in completely suppressing it.
Answered
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The fact that the fever has not returned after 72 hours of antibiotics is a good sign. However, a painful swelling on the palate that feels like pus has collected should not be assumed to disappear with antibiotics alone. The infection may still need to drain properly and the source of the infection needs to be treated.
Next Steps
Please contact your dentist for a review as soon as possible, especially since the swelling is still very painful and is not draining. The dentist can check whether there is a collection of pus and whether further drainage or treatment of the affected tooth is needed.
Continue the prescribed antibiotics for the full course unless your dentist tells you otherwise. Do not try to puncture, squeeze or drain the swelling yourself.
Health Tips
You can continue gentle warm salt-water rinses a few times a day, but do not rinse aggressively or press on the swelling. Keep the area clean and stay well hydrated.
After successful treatment, pain and swelling should gradually improve over the following few days, although complete healing can take longer. Since you still have a painful swelling after 72 hours, it is better to have it checked rather than simply waiting for it to disappear.
Seek urgent/emergency care if fever returns or you develop rapidly increasing facial/neck swelling, difficulty swallowing or breathing, difficulty opening your mouth, or feel very unwell.
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Hlo mam….the presented situation describes a palatal abscess resulting from a dental infection.
It can happen because of following reasons:-
1)An infection originating from the root tip of a maxillary tooth that spreads through the palatal bone to the tissues of ghe roof of mouth.
2)Inadequate initial drainage:-while the offending tooth was accessed,an accumulated collection of localised pus may remain trapped beneath the thick palatal mucosa,where antibiotics alone struggle to penetrate effectively.
Next Steps
You should contact your treating dentist or and oral surgeon promptly for an in-person evaluation as surgical drainage of the palate is likely necessary to relieve the pain and resolve the problem
Once acute swelling subsides u after the incision and drainage go for definitive treatment of the offending tooth.Get rct done or get it extracted if rct if the tooth is non-restorable.
Health Tips
Continue the prescribed antibiotics combined with warm salt water rinses.
Once physical drainage is performed , severe pressure pain typically drops significantly between 12-24 hrs.
The palatal swelling generally resolves within 7-10 days following successful drainage and definitive dental therapy.
Consult your dentist asap and get the treatment done.you should not delay the treatment as there are chances of spreading of infection.
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