4434. A very smelly right nostril discharge and phelgm on few days around 23.1.2025

  very smelly right nostril discharge and phlegm on few days around 23.1.2025

 

 

 

 

 

 

 

Filling of Molar 2 has dropped out on 30 Sep 2024.
Went to KTPH to get filling done. It was well done as seen in PM1 (R) in Image 2 on 23 Jan 2025.

On 23 Jan 2025, a very bad breath from R nostril comes from tooth infection in M1 (2nd from L).

 

 

UPPER RIGHT SIDE OF TEETH OF 74-YEAR-OLD MAN

Canine tooth (R) is normal. PM1 is infected and has much fillings. PM2 is relatively normal.
Molar 1 is the fractured tooth (90% teeth has been lost) and bacteria had gone into
the nasal sinuses, causing a foul smelling discharge from the right nostril.

PM1 needs root canal treatment in 3 phases. On 11 Feb 2025, NDCS first appointment
for root canal treatment of PM1. 

 

Dr Chan gave local anaesthetic and drilled into the
root canals (said to be two) in PM1. In this root canal, half of it was calcified as the
tissues walled off the cavity preventing bacterial infections.

In the 2nd phase, Dr Chan will remove the calcified portion to reach into the

deeper part of the root to clear the debri and remove the infected part around the root (black area
of gum in the root area indicated inflammation.

 

There will be no crown as the tooth is not strong and may break. The root canal treatments are
meant to remove dead nerves and blood vessels in the pulp and seal the canal, hence
preserving the tooth, as contrasted to extraction.

 

 Good dentist preserve the tooth as much as possible through root canal treatments
not extraction, as the patient will need implants, bridges or dentures.