Yea i figured that would be best so i have already ceased the smoking. The mouthwash i was using was alcohol free, but still have switched to the salt water wash, doing this after every time i eat now. As far as i remember, he said nothing of the sort to me or my ride home about perforated sinus. As far as the receptionist doing my follow up..when I told my parents (both are medical professionals) they both about fell over themselves. Worst part was, I drove an hour and a half for that follow up that could've been done over the phone.

Thanks for the replies. Ill post any more changes i experience.