Hi snowbomb,

Very sorry to hear that you are hurting so badly.

It sounds like the root canaled tooth was infected and the infection spread to your sinus causing a break in the sinus membrane. And/or when the root canal was done, the dentist perforated the apex (tip of the root) with an instrument which broke the sinus membrane causing a hole or communication directly into the sinuses. Either scenario would cause you to have some form of chronic discomfort in this tooth prior to the extraction. In cases like these, the extraction is a bit more complicated and the surgical site can take a bit longer to heal.

Did the dentist suture a flap of connected cheek tissue over the extraction site? If so, then that can be very uncomfortable for several days and you should try not to open your mouth too wide... chew too much... talk too much... until he removes those sutures.

Was your extraction done by a general dentist or an oral surgeon?

If you are still in severe pain by tomorrow... see an oral surgeon. The pain will usually lessen by the 4-5th day and continue to get better after that so if that is not the case you know it's not normal.

I know this is difficult... don't over due the pain meds, take them carefully and not more frequently than recommended. Drink as much water (avoid using a straw) as you can to help keep yourself hydrated since you probably are not eating very much. If you smoke, stop, because that will make it worse and will slow down the healing process.

Please keep in touch here...... hoping you wake up tomorrow feeling a lot better!

Bryanna