It can be treated with antibiotics, but it doesn't really solve the problem. The tooth will still need the treatment reccomended by the dentist; root canal or being taken out most likely. The antibiotics will just help get rid of the pain and make it easier to work on the tooth. The infection will come back. There is no real way to determine when, but it will, maybe a few weeks, maybe a few months, maybe a year, but it will be back and it will probably be worse. And if there is any way to save the tooth now, there may not be if you wait to have the treatment done.
Osteomyelitis, is an infection of the bone, which is difficulty to treat due to low blood flow. Treatment is long (like 4 weeks) and usually via IV antibiotics. If you don't get that treated, bone cancer would be the least of your worry. You'd be more likely to die from the untreated infection sooner than any bone cancer can kill you.
It's possible, but the infection will most likely come back again. There is no telling when, but it will. A week, two years, no way to tell. - You can also see an endodontist for a retreatment where the old filling material is removed and replaced or an Apicoectomy, where a small incision is made on through the gum and bone and the tip of the root is treated and resealed. -RDH
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