After tooth extraction, if there is a foul odor and greenish discharge coming from the wound, it may indicate an infection or a complication such as dry socket. It is important to consult a dentist for evaluation and appropriate treatment?
It has been 1 to 2 months since I had a tooth extraction, and the extraction site is producing green discharge with a foul odor.
Sometimes, it even comes out of my nose.
[I did not experience this during the first month after the extraction.] What could be the reason for this? Am I experiencing an infection?
Lin Zheng, 20~29 year old female. Ask Date: 2016/04/27
Dr. Qiu Qiongyao reply Dentistry
The wound is infected, and there may be residual infection as well as a possible sinus infection.
Please visit the Ear, Nose, and Throat (ENT) department or the Oral and Maxillofacial Surgery department at the hospital for treatment.
Reply Date: 2016/04/27
More Info
The presence of green discharge and an unpleasant odor from a tooth extraction site, especially one that has been healing for 1 to 2 months, is concerning and may indicate an infection or other complications. Here’s a detailed explanation of what might be happening and what steps you should take.
Possible Causes
1. Infection: The most likely cause of green discharge and odor is an infection at the extraction site. This can occur if bacteria enter the wound, leading to a condition known as dry socket (alveolar osteitis) or a localized infection. Symptoms of infection can include swelling, pain, and discharge that may be green or yellowish.
2. Sinus Involvement: If the extraction was in the upper jaw, there is a possibility that the sinus cavity could be involved. Sometimes, an extraction can create a communication between the mouth and the sinus, leading to sinusitis, which can produce greenish discharge that may drain into the mouth or even out of the nose.
3. Necrotic Tissue: If there is dead tissue in the extraction site, it can also lead to foul-smelling discharge. This necrotic tissue can be a result of poor healing or infection.
4. Foreign Body Reaction: Occasionally, small fragments of tooth or bone can be left behind after extraction, which can lead to irritation and infection.
What to Do Next
1. Consult Your Dentist: It is crucial to return to your dentist or oral surgeon for an evaluation. They will likely perform a clinical examination and may take X-rays to assess the healing process and check for any underlying issues.
2. Antibiotics: If an infection is confirmed, your dentist may prescribe antibiotics to help clear the infection. It’s essential to complete the full course of antibiotics as prescribed.
3. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Rinse your mouth with warm salt water to help keep the area clean and reduce inflammation. Avoid using mouthwash that contains alcohol, as it can irritate the site.
4. Pain Management: Over-the-counter pain relievers can help manage discomfort. However, if the pain is severe or worsening, it’s essential to seek professional help.
5. Avoid Irritants: Avoid smoking or using tobacco products, as these can impede healing and exacerbate infection.
Conclusion
In summary, the green discharge and odor from your tooth extraction site are likely signs of infection or other complications. It is essential to seek dental care promptly to address these symptoms and prevent further complications. Early intervention can lead to better outcomes and a quicker resolution of the issue. Remember, your oral health is crucial, and any unusual symptoms should not be ignored.
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