Thank you so much for the quick reply, Brianna. I am new here and more nervous than most people about my teeth since I have had a lot of work done. My surgeon didn't do the test you mentioned. I am hesitant to ask him if he irrigated it because I don't want him to feel I'm questioning his expertise. It all went so fast and I had my eyes closed because when I saw the pliers, I freaked! I will ask him though if there was a sinus exposure or perforation. I would think he would have told me...I wlso want to know if there was, did he treat or fix it. Googling has taught me so much here, maybe more than I wanted to know. I think of people years ago, ouur grandparents who had a million teeth removed and didn't think about or worry and they were fine. Anyway, I am having pains on the other side also, ear, chin, TMJ...I am just a nervous wreck but primarily, this pain on the side of my nose concerns me because it wasn't there before. Can they see a perforation on a regular periapical x-ray? They did a Panorex already beforehand and I'd hate to go through all that radiation again. Or would I need a sinus x-ray? Hopefully, this is all in my mind and will be ok but will be glad to post tomorrow and thanks again! Oh, one more question...if they had to repair it, do they have to re-open the same spot? I worried so much about dry socket and scared to go through this again.
Quote:
Originally Posted by Bryanna
Hi sandy,
Yes, it is common to have soreness as you have described for a week or even longer after an infected tooth is extracted.
Here are a few things that are pertinent anytime an extraction is done are......
1)The periodontal ligament which is the tissue that cradles a tooth in the jawbone along with the area of infection should be removed at the same time as the tooth to aid in the healing of the jawbone
2)Since upper molars can be in close proximity to the sinus, the surgical area should be checked thoroughly after the tooth is out and the area is debrided to rule out a sinus exposure. We check this visually as well as having the patient blow through their nose while the nostrils are held closed. While the patient is blowing through their nose, if air bubbles accumulate at the site of the extraction this indicates a sinus exposure. If no bubbles are seen, then the sinus is most likely intact.
3)All extraction sites should be irrigated with saline solution after the tooth is removed and after the surgical site is debrided but prior to any suturing. The irrigation flushes out any debris that could cause infection and/or delay the healing of the site.
It is good that you have followed the post operative instructions and should continue to rinse with warm salt water for at least another two weeks. It would not behoove you to gargle or try to get water to come out your nose. The best thing to do is express your concerns and "specific" discomforts to the oral surgeon tomorrow and let him check the area for anything unusual. He may take another xray to firmly rule out the possibility of a sinus exposure.
I always tell patients to speak freely about their concerns, irrelevant of how insignificant they feel they may be or how busy the doctor may be. More times than not, a patient can prevent further complication by speaking up....... ~'.'~
Please let us know how your visit goes tomorrow!! Wish you the best of news!
Bryanna
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