Originally Posted by Bryanna

Hi Ejamal,

I assume this dentist is a general dentist, yes? General dentist have limited oral surgery education and experience compared to an oral surgeon So if she was a general dentist, it would be best to see an oral surgeon for the removal of the rest of your wisdom teeth.

Based on your description it sounds like she may have used an improper technique to remove your upper wisdom tooth which resulted in the unnecessary removal of some bone contributing to a sinus perforation. She may not be very well trained in how to treat a sinus perforation, as most general dentists aren't, and just placed gel foam and sutured the wound closed.

The drainage that is occurring when you push on the outside of your cheek in the area of the extraction site sounds like you may have a large sinus opening which is building up with mucus or pus. Even though you are on an antibiotic, you can still have or get an additional infection because the antibiotic that you are taking may not be the proper one to deal with the species of bacteria that is causing the infection. The healing time for what you have described is complicated because this supposedly simple extraction has become problematic.

It would be advantageous for you to see your dentist on Monday for an xray of that area to see how large the opening is into the sinus and to see if the infection can be picked up on the xray. Sometimes it can and other times it has to become really large to be seen. Either way, the xray would be warranted. Then it would be in your best interest to ask her for a referral to an oral surgeon to evaluate it and to remove the other wisdom teeth. You can ask her to email the surgeon the xray so he has it when you arrive for your appointment.

I would not wait to act on this because the problem may be in the early stage of repair which is to your advantage because if you wait the problem may progress and become a very complicated situation.

I hope you find this information helpful. Please keep us posted.