The "abcessed" area that you are speaking of at the site of #11....... is it on the cheek side and along the bumpy, bony ridge or is it above that bony ridge area? Did that area actually develop a scab??
The original source of the abcess came from the infected root canaled tooth. As the infection spread from the tooth to the jawbone, the abcess occured. The steps in clearing up an abcess begin with removing the source, which was the tooth, then remove the abcessed bone and tissue inside the socket, irrigate thoroughly with saline, close up the wound and put the patient on antibiotics. I would assume that your surgeon did all of those steps before placing the bone graft material, collagen and sutures. That is the standard procedure in a case such as yours. Sometimes, the area is too infected to place the graft material at the time of the extraction, but the surgeon should be familiar with that issue because that is actually part of his training in this type of procedure. If the graft is placed in infected bone, the area will not heal and the graft would need to be removed. This is one good reason all surgeries like yours should be followed up within 2 weeks from the extraction.
I am not surprised that the area is sore to the touch, that is very normal and expected. The yellowish circle with red ring could be a canker sore. These can develop near or around extraction sites from the trauma of the instruments, etc during the surgery. They tend to be the sorest about the 3rd to 4th day after the extraction and then continually feel better and fade away from the 5th day on. They can last up to 21 days in all. The other thing is, that area of bone above #11 site is bony and the skin could appear yellowish with some red color because the tissue is thin there and the bone is close to it. If you notice pus or a foul odor coming from that area, then you should see your dentist early this week. Or if you develop a fistula, it is raised and looks like a pimple on the gum, then see the surgeon asap.
Amoxicillin is routinely prescribed for oral infections but sometimes the bacteria is not sensitive to it and the antibiotic needs to be changed.
I would expect #2 area to look a little lumpy at this stage of healing. The tissue has not completely filled in yet and the bone has definitely not healed in yet. It has several more months to go before it's considered solid again.
It is way too early to determine if anything should or could be done to address the lumpy tissue there. Most people get very used to that tooth being gone and never replace it. I think you need to give it some more time.
So many things to think about but you are taking good care of yourself through this phase and if anything unusual pops up, I think you will be aware of it. If ever in doubt, schedule a quick appointment with the dentist or surgeon to be sure........ ~'.'~
Keep in touch....... enjoy the rest of the weekend!
Originally Posted by sandy60
Hi, I have a few more questions. The abscess where tooth 11 still looks like it is there, I see yellowish circle with red ring. There was a crust around it that fell off but today it looks like it did originally. I pressed it, not to drain it but out of curiosity (gently) and it still hurts. I am still on amoxicillin. The surgeon told me when the tooth is out, the abscess will go away. Any feedback on that would be appreciated.
Also, where tooth 2 was extracted, it looks lumpy. Both the second surgeon (I went to someone else the 2nd time who I know better) and my own dentist said it looks lumpy but sometimes it heals that way. One said maybe they can smooth it out. Argh, what do they do? It's just been 2 weeks so doesn't the bone have to grow in? Don't they have to give it more time? I feel very weird (no pain there) but my cheek hits the empty space and it feels strange and at times like I am biting my cheek. I have the ist molar out on the other side but it never felt weird because the support of the last tooth is there. Have you heard this complaint before? Do most people get used to it or do they get an implant?