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In terrible pain after extraction with sinus perforation

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Old 05-30-2012, 12:44 AM   #1
snowbomb63
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Default In terrible pain after extraction with sinus perforation

Hi, I found this forum tonite, my third sleepless nite after a tooth extraction. What happened was I had a root canal on tooth 15, my upper left molar and it never felt right, which led to an extraction where the surgeon said that tooth never felt right because there was a hole in the sinuses.. he pulled the tooth and put in some packing and sent me home. Later the next day, I could tell I had opened the hole as all I could do was suck air.. we rushed over and the surgeon then stitched my gum flap over my sinus hole. Now, two nites later, I am in horrific pain. My cheeks are so swollen, ( I am on two antibiotics) and I can't sleep or function at all. I keep taking narcotics, which is barely helping honestly. Is this still normal healing time or is this the sign of a bigger problem? I don't know what to do and I'm so scared, please tell me your opinions, thanks so much
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Old 05-30-2012, 07:16 PM   #2
Bryanna
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Hi snowbomb,

Very sorry to hear that you are hurting so badly.

It sounds like the root canaled tooth was infected and the infection spread to your sinus causing a break in the sinus membrane. And/or when the root canal was done, the dentist perforated the apex (tip of the root) with an instrument which broke the sinus membrane causing a hole or communication directly into the sinuses. Either scenario would cause you to have some form of chronic discomfort in this tooth prior to the extraction. In cases like these, the extraction is a bit more complicated and the surgical site can take a bit longer to heal.

Did the dentist suture a flap of connected cheek tissue over the extraction site? If so, then that can be very uncomfortable for several days and you should try not to open your mouth too wide... chew too much... talk too much... until he removes those sutures.

Was your extraction done by a general dentist or an oral surgeon?

If you are still in severe pain by tomorrow... see an oral surgeon. The pain will usually lessen by the 4-5th day and continue to get better after that so if that is not the case you know it's not normal.

I know this is difficult... don't over due the pain meds, take them carefully and not more frequently than recommended. Drink as much water (avoid using a straw) as you can to help keep yourself hydrated since you probably are not eating very much. If you smoke, stop, because that will make it worse and will slow down the healing process.

Please keep in touch here...... hoping you wake up tomorrow feeling a lot better!

Bryanna


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Originally Posted by snowbomb63 View Post
Hi, I found this forum tonite, my third sleepless nite after a tooth extraction. What happened was I had a root canal on tooth 15, my upper left molar and it never felt right, which led to an extraction where the surgeon said that tooth never felt right because there was a hole in the sinuses.. he pulled the tooth and put in some packing and sent me home. Later the next day, I could tell I had opened the hole as all I could do was suck air.. we rushed over and the surgeon then stitched my gum flap over my sinus hole. Now, two nites later, I am in horrific pain. My cheeks are so swollen, ( I am on two antibiotics) and I can't sleep or function at all. I keep taking narcotics, which is barely helping honestly. Is this still normal healing time or is this the sign of a bigger problem? I don't know what to do and I'm so scared, please tell me your opinions, thanks so much
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Old 05-30-2012, 08:02 PM   #3
snowbomb63
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Bryanna,

Thanks for your answers, I appreciate them. Unfortunately, tonight that sinus hole re-opened somehow, as I am feeling the "wind tunnel" in my mouth and even more pain. The doctor who did the gum flap was a periodontist and he did use cheek membrane. I have no idea what they will do next, what happens when you fail to keep the sinus perf closed even with a gum flap and stitches? I am extremely concerned as to what the next step is...
Thanks for listening
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Old 05-31-2012, 09:34 PM   #4
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Hi snowbomb,

I would recommend that you see an oral surgeon as they have a lot more experience in treating this type of thing.

Treatment to close a sinus perforation depends on the size of the opening as well as the health of the sinus and the jawbone in that area. Infection in either area can cause complications and delay healing.

Some small sinus perforations close on their own but others may not. To avoid further problems, it is important to have this re evaluated and if necessary, receive treatment as soon as possible.

Keep us posted...
Bryanna




Quote:
Originally Posted by snowbomb63 View Post
Bryanna,

Thanks for your answers, I appreciate them. Unfortunately, tonight that sinus hole re-opened somehow, as I am feeling the "wind tunnel" in my mouth and even more pain. The doctor who did the gum flap was a periodontist and he did use cheek membrane. I have no idea what they will do next, what happens when you fail to keep the sinus perf closed even with a gum flap and stitches? I am extremely concerned as to what the next step is...
Thanks for listening
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