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Visitor asks:

A pus-filled bump developed above an upper front tooth, and because of it my dentist recommended an apicoectomy of tooth 21. Since I was very afraid of the procedure, I asked her for antibiotics, believing that the bump would disappear with them. She agreed and indeed the bump disappeared. After two months I went for another examination, but she noticed redness in the area and said that pus was draining, and nevertheless referred me to hospital for an apicoectomy. I went there, and after the examination the oral surgeon scheduled me for June 2010, saying that it was not so urgent. I would now like to know, and kindly ask you to explain, whether this is urgent at all, whether it is true that it is urgent but not very urgent, whether it can heal on its own, or whether I should rather go privately and have it resolved as soon as possible. If this inflammation could spread to neighbouring teeth, I would gather my courage and go privately. Thank you in advance for your answer and kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

You should certainly trust the surgeon's opinion. Of course, when deciding on the date of the procedure, the possibility of the procedure being paid for by the insurance is also an important factor. If an apicoectomy needs to be performed, then by medical logic it should also be performed as soon as possible, although in most cases there is no danger that the disease process will spread to other teeth. For additional information we would need an X-ray.

Have a nice day.

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