I saw my OS on Monday. He took a look at the area and said it was likely a "splinter" working its way out and the opening should heal on its own. He's pretty "legit" and knows his stuff and now knows why I've had all the sinus infections. I'm going to hold off on VA ENT until this all heals and I get the implant.
But my OS was quite confident this will be taken care of over time and have a follow-up in 8 days. I'm still passing air through and its like going through post-op stuff; no straws, decongestants, and talking is miserable, ha...and I have a date Sunday...so heal!! (OKC Thunder, baby!!!!)
Should I use some sort of antiseptic? I have like 7 more days worth of Amoxicilian the VA ENT gave me, continue to take it?
Happy Wednesday!
Quote:
Originally Posted by Bryanna
Rick,
It was a foreign matter but could have been tooth or bone related. Sometimes (quite frequently) when a tooth is extracted, a piece of the tooth or a piece of the jaw bone gets splintered or fractured off and it gets pushed during the surgery into a place where it may or may not be seen on an xray or a scan. Depending on where it is, sometimes it will work itself out through the mouth or the nose. The infection however may have progressed beyond the actual site of where the "piece" was pushed to. This could account for chronic sinus infections and the current perforated sinus.
It is imperative that your OS and the ENT collaborate on your case. One should not be doing anything without giving consideration to the problems in their entirety. Meaning, neither issue should be dismissed or overlooked when dealing with the other. The septum issue and the tooth related infection should not be dealt with separately.
The ENT must take into consideration all that has transpired with the extracted root canaled tooth. Beginning with the history of that tooth ... the fact that it was root canal and when ... the problems you had that lead up to the tooth being extracted ... the oral surgery to extract it and what was found during the surgery ... the post operative complications that occurred ... the timing of the sinus infections ... the "rice" like finding ... the pus that extruded ... the abnormal air flow ..... ALL of these things are important notes to be taken into consideration when dealing with your septum if you are to heal properly from that surgery.
The ENT and the OS need to collaborate on your case. You may have to insist upon it because doctors often have egos that get in the way of sharing cases with other doctors. Or they hesitate to make the contact because they know or suspect something has gone amiss with the care and they have to be careful how they approach the case. Either way, those issues are not your problem. Your problem is getting the best and most thorough care possible.
Please consider the information that I have given you seriously. If you have some doubt about the importance of the doctors collaboration ... read through all of Angels31 dental saga here on this forum. She's been through hell because her ENT and OS have yet to collaborate on her dental situation Which by the way with a few minor differences, happens to be very similar to yours.
Bryanna
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