Hi CoastieStacie,
Your description of symptoms does indicate a sinus perforation. This needs to be checked by an oral surgeon asap to determine how large it is which can help determine if it will heal on it's own or you need to have it surgically closed.
Irrelevant of how you cover up the surgical site, smoking does impede the healing process from a tooth extraction because the (carcinogenic) chemicals in the tobacco irritate the wound and the sucking sensation prevents the hole (and/or sinus opening) from closing completely. Smoking can also make the sinus perforation larger for those same reasons. An open sinus into the oral cavity can cause chronic oral and sinus infections which can spread past the sinuses into the brain. This is not something to ignore.
Please see your oral surgeon for evaluation as soon as you can.
Bryanna
Quote:
Originally Posted by CoastieStacie
So, I have a question. I came across this feed when googling my symptoms. I had my #14 tooth extracted on Monday (5/7/2012). It was a simple extraction, and I don't believe I have dry socket at all, but I do believe to have sinus perforation (sp?). I noticed on Thursday night that when doing the salt water rinse, some came out my nose. Last night, a lot came out of my nose and then when I sniffled, air came through the hole.
There was no talk of the root being near my sinus cavity, and honestly, I studied dental assisting for a year and didn't even know about this! I knew your roots could sometimes go into the sinus cavity, but I guess I either forgot all about this or just didn't know at all.
Anyway, I'm terrified that it's going to get worse. I don't swish harshly or anything. I'm still eating soft foods. I do smoke and have been doing so carefully. I don't know if I can quit, but I could try... When I do smoke, I make sure to cover the extraction site with wet gauze and I don't suck hard. Now, I'm keeping the site covered because I'm even more freaked out by this... It's not too painful, just kind of a jolt sometimes when the water goes through.
I'm just confused and not sure of what to do? Please help me on this one.  |