Having pain and pus discharge from nasal cavity into oral cavity. Test shows normal. Is it chronic sinusitis?
Patient: hello,Iam a dentist .my patient comes complain of pain and bus discharg from nasal cavity into oral cavity ,he said its chronic and recurent ,on examination nothing abnormal just mobile suppernumary teeth opposing to upper premolar and 1st molar.after extraction their is bus ,I wash with salin and give him amoxicilline and mitronidazol .he has no other systemic broblem and he is 22 years old.is it enough and what is diagnosis ,is it may be ca or just from chronic sinsitis Doctor: hi doctor  if extraction was a tough one or take a x-ray to ruleout the oroantral fistula any fracture in the sinus wall a simple test is to find when u give a cup of water to hold in the patient mouth u may find some droplets come thro nose and also u get an ent opinion too take the discharge and give for examination to ruleout any lesion                                                      thanks  dr.karthikeyan  virukshaa dental care coimbatore