Conversation: The conversation between human and AI assistant.
[|Human|] I have an upper right tooth, the next to the last, that had a abcess the size of a dime when they pulled it. the tooth had broken under a crown. My dentist tried to fix the abcess with synthetic bone, absorbable membrane and non-absorbable membrane. When the stitches were taken out 3 weeks later I still had a hole going up into my sinuses. An oral suugeon had tried twice to use membrane and fatty tissue, but to no avail. Last night the membrane came out even though the stitches are still intact. I will see him again sometime tomorow but what are the other options in fixing this? He had mentioned something about packing my sinuses with gauze until the hole heals. This has been going on over 2 months and it has just worn me down, I have lost about 20 pounds because I cant eat, all of the meds I take make me nauseated. Please tell me what are my options
[|AI|]  Thanks for your query, I have gone through your query. The features you are telling looks like it is not abscess it might be oraoantral fistula that is communication between maxillary sinus and oral cavity.  Consult an oral physician and get yourself examined, and you need to take radiograph to rule out remnant infection. If it is OAF then it has to treated by placing buccal or palatal pedicle flaps. I hope my answer will help you. Take care