It is very hard for me to say if the hole will close on it's own as I have not seen you clinically or radiographically. The salty taste indicates a communication between your sinus and your mouth. It could be as tiny as a pinhole but any communication between the two could result in infection.
Yes, oral surgeons have closed sinus perfs a year or more ater the extraction of the tooth. But that is only because the patient was not evaluated earlier than that. So yes, it can be done but it's not ideal to wait that long.
During the flap procedure, he may cover the opening in the sinus with a piece of collagen membrane and then suture the incision closed over that membrane.
You just may need some more time to heal... it's hard to say. I would take the antibiotic and then wait one more week after that is done to see how it is. If you are still getting that salty taste, then revisit the oral surgeon.
Sometimes these things heal on their own if there is no infection. Hopefully that is the case with you!!
Keep me informed .... ok...
Originally Posted by Silky
I found an oral surgeon that seems to be willing to help me. When he looked at the extraction site he said that it would be easy to fix. He did an i cat scan and didn't see any noticeable breaks in the sinus floor. So I'm guessing they were too small to be seen. He said the surgery that he would do would be a flap surgery. He said he's even done this type of surgery a year after an extraction. He thought I might be best served not to do the flap right away. He gave me an antibiotic for a week, since he was concerned about the salty drainage and something is leaking somewhere. He thought the hole might close in a week or two. The fact that there is still drainage......does that mean the hole will probably not close. I asked him how big the hole was. He said about 1 cm. I get different answers when dentists look so not sure how accurate their estimate is. I think it's hard for them to see the hole being so far back and kind of dark to see. Since he's talking about the flap surgery it seems he must think the sinus area will heal by itself, and is only concerned with the hole in the gum. What would you do now? Does any of the info he gave me sound not right to you?
He left it that I would come back if I needed. He would probably do the flap surgery if I go back, and asked him to.