If it is a small perforation and there is no infection in the bone or sinus, it most likely will heal on it's own. The antibiotic is given to hopefully clear up any residual bacteria from having the dry socket. The decongestant is given to reduce the sinus inflammation so the perforation can close.
Small sinus perforations are common when an upper back tooth is removed....especially if a dry socket developed.
You can help with the healing if you... keep your mouth clean by brushing and flossing, rinse a few times a day with warm salt water only.... no mouthwash that contains alcohol/dyes/preservatives/essential oils, drink plenty of water throughout the day, and take the antibiotic and decongestant. Taking a probiotic daily would also be helpful, especially since you are on the antibiotic. Just take one probiotic a day, 2 hours before or after the antibiotic. I recommend to our patients the probiotic called Culturelle... it can be bought at most drug stores or online.
I know this is a bit scary, but it can take several weeks to heal...and that's ok, it's going to be ok
Originally Posted by Dry socket girl
Well I went to see an Oral surgeon today, Board certified everything and I have seen him in the past so the trust is there. He did a panoramic and said no nerves or anything is left in the sinus. I still feel air going up and down and he did the test again and you can actually hear the air hissing out of me. I immediately started crying and getting upset and he told me to not get like that because even though it has been 5 weeks I had a dry socket on top of it and the hole (gum) is closing. He said that normally these can take a while to close up and that the pain in the nerve area 2 teeth down is referred pain and once the gums mold back to the way the they are supposed to be that should diminish ( i hope so). He gave me an antibiotic and a decongestant and said to see him in one week. He wants to treat this from the beginning and keep everything clear and dry. I still have stiffness in the gums and tightness but that means the gums are healing I hope. Everything else looks fine and he kind of implied that this would have happened regardless of who took it out because of the way the roots were, but who knows.
In your experience how long can one of these really take to close? He said give it a few weeks I guess the 10 days of antibiotics and decongestants and he said we will see how things are than. He explained the procedure to fix it and he gave me the impression that it is fairly simple. He also said it is rare for them not to close on their own because he does feel it is small.
I feel better about everything I am just so scared and concerned. I feel like now I am fighting 2 things. The healing gums and nerves of a dry socket and now a sinus communication.