Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a dental fistula for several months now, every now and then it allows to drain the puss through my gum.Can I leave it like that or should I proceed with oral surgery as my dentist recommends. The root canal procedure was done about 20 years ago but about 3 years ago this tooth started to give me problems, pain and infection that got untreatable with antibiotics till this fistula has developed and the pain is gone since then.
[|AI|]  Thanks for your query, I have gone through your query. The pus discharging sinus tract can be secondary to the gum infection. Since you are giving history of previous RCT, it does not look like tooth infection. It can be secondary to deposits around the tooth, or it can be secondary to infected residual cyst. Consult an oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If it is a gum infection, then get your teeth cleaned(incision and Chat Doctor. If it is because of infected articular cyst, then get the cyst enucleated. Get the tooth treated as early as possible because if the infection spreads, it can involve bone and result in osteomyelitis. I hope my answer will help you, take care.