08/08/2025
Awareness Post:
A patient was referred to me with a fistula tract and discharge on the left mandibular jaw.
History: The patient reported the discharge had been present for 4 months. Initially, they didn't realize it stemmed from an infected molar, leading them to consult an ENT doctor. They were prescribed celecoxib (for pain) and topical mupirocin (for superficial skin infections), but their condition didn't improve. A CBCT scan revealed that the lower left second molar was the source of the infection, having penetrated the bone and created a tract to the soft tissue where the discharge exited.
Lesson: If you've consulted a medical professional and your condition doesn't improve after a week, don't hesitate to seek a second opinion. Untreated chronic dental infections can lead to rheumatic heart disease, sepsis, or even brain infection. Fortunately, this patient is young and has a healthy immune system.
Always remember to prioritize your oral health, as it can impact your entire body.