Hi pkeen,

It is common for upper wisdom teeth to be located in or near the sinus cavity. Generally these teeth are not removed unless they are decayed or if there is an infection or a cyst has developed around the root of the tooth.

The extraction fee of $275 is VERY reasonable and much less expensive than most for the extraction of a wisdom tooth. The fee of $600 to repair the sinus membrane is also very reasonable. Depending on how much repair is needed, this can be a very delicate and tedious surgical procedure.

Generally when there is a sinus perforation after an extraction, the surgeon will thoroughly clean out the area and use copious amounts of saline to irrigate the surgical site. A collagen membrane, sometimes resembles a thin piece of tissue paper, is placed over the perforation to close off the sinus. This membrane eventually integrates with your own sinus tissue to become one. The area is sutured closed and you are given strict instructions about blowing your nose gently (if at all for several days), sneezing with your mouth open and not drinking through a straw until the membrane heals over.

If you are a smoker, now would be a perfect time to stop because smoking can impede the healing which could require multiple surgeries to fix.

Let us know how you do!

Bryanna