Hi TooTired,

A panoramic xray is unlike a spot xray in that you stand or sit in front of a machine where the camera goes completely around your head. The radiograph shows the upper and lower jaws in their entirety and the sinus cavity along with some other anatomical structures. This is the only type of dental radiograph that will show an accurate view of where the floor of the sinuses are in relation to the roots of the upper teeth. It would show if there was a sinus perforation from an extraction.

Your upper incisors can affect your sinuses depending on your anatomy and/or the biological condition of those teeth and surrounding bone. Infection in those teeth can spread to the sinuses which would cause an opening of the sinus during the extraction. If the upper incisors get root canaled and the instruments and/or gutta percha (filling material inside root canaled teeth) gets pushed through the end of the root into the sinus, then there would be a sinus perforation and ultimately an infection in the sinus.

Treatment will solely depend on what the problem is. Antibiotics may or may not be enough.

Please let us know what the ENT said today!

Bryanna