Hi, Dr. Hall,
I had a tooth removed about 6 weeks ago. My dentist told me that he could see right into my sinuses. Rt upper sinus perforation. He put me on a week’s worth of antibiotics. That was all. Nothing more than general post-extraction protocol. I also had 2 other teeth pulled. They have healed fine. But this one with the sinus perforation has not even closed yet. It feels like there is still a deep hole there. I have had several rounds of antibiotics from my GP for sinus infection. It didn’t help that I have a horrible headache everyday and a fever, not too high around 99.2 to 99.8. My question is … is it too late for him to follow the preferred sinus perforation protocol to fix this or am I headed to an oral surgeon or the ENT? Thanks so much,
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It sounds like you have had a persistent sinus infection ever since this extraction with the sinus perforation. With this extraction being six weeks ago, the perforation should have healed. The fact that it hasn’t makes me worried that there is a root tip of the tooth or a bone fragment or some other foreign object pushed up into your sinus. Have you had an x-ray of your sinus to see what is going on there? If I were in your shoes, I would seek a referral to an otorhinolaryngologist (ear, nose, and throat physician) to check for that possibility and to provide proper care for this perforation. Had your dentist known how to take care of this incident, you wouldn’t be in your current situation. The sinus should be checked for any foreign objects. If present, they should be removed. That’s the tricky part of this. Then the hole should be closed. That’s the simpler part. After that, a course of antibiotics of about ten days should clear this up for you.
If there is indeed a tooth or bone fragment in your sinus, you are probably better off that your dentist didn’t close the hole.
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About David A. Hall
Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.