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-   -   Perforated sinus? (https://www.neurotalk.org/dentistry-and-dental-issues/128797-perforated-sinus.html)

ginnie 03-06-2012 01:07 PM

Hi Jedijud
 
I am very glad to know that you found another oral surgeon to fix your sinus cavity. I know you are anxious to get this cleared up, so you can get on with your life. What I learned from my own experiece now, is to question eveything. I also get second opinions on all proceedures. I hope this turns out just fine for you, so that this experience can be behind you. Let me know how you are doing after your surgery. I will be keeping you in my prayers for a quick recovery. ginnie

UCF-Pre.PA 03-20-2012 12:41 PM

Hi all, I just wanted to post my own symptoms as I am unsure of what the problem is. I had 4 wisdom teeth extracted two weeks ago today. Initially I thought the surgery went great as bleeding ceased in about 20 hrs and I didn't even have pain after 2 days from the surgery. 1 week ago, I went in for my follow up. Much to my surprise, the follow up was conducted by the front desk receptionist, not the oral surgeon (wtf?). Anyway, she simply asked me 3 questions and looked in my mouth for about 5 seconds, not even examining my top sockets. She said all looked fine. Here are my symptoms. Starting 5 days after extraction, I began getting the salty taste in the area of my top left socket. I have also had intermittent pain anteriorly to my left tmj (I would guess right around the area where that socket is). The pain has become less often as time goes by. I am a "smoker" but not tobacco. I occasionally smoke marijuana and have probably smoked 4-5 mj "blunts" (all mj tonacco) between now and 1 week post surgery. I did not smoke anything in the first week after surgery. I realize this has probably contributed to my situation.

Anyone have an ideas as to what could be my problem? (besides me smoking)
Any response is greatly appreciated!

UCF-Pre.PA 03-20-2012 12:51 PM

I would also describe the problematic socket as a little "sore" when compared to my other open sockets. I'm not sure if I said It in the previous post but I have been using lister one mouthwash for a week instead of warm saltwater mix. Also, my spit has had some degree of discoloration for the entire two weeks post surg. Granted this past week has been much more normal colored.

ginnie 03-20-2012 01:59 PM

Hi UCF
 
Hello, and I am glad you found Neruo Talk. There will be others to help address your situation. I think I would have had to squack, if the receptionist was the one to check my mouth after this surgery. That is not acceptable, unless she is an assistant and trained that way. If after your healing began, and you started with more pain, after having no pain, then you need to be seen. Infections can and do start up. I would quick smoking anything, until the issues is resolved, to be on the safe side. I don't think what youdid caused the infection or the problem. However it does put contamination into your mouth while you are healing. I am also surprized that mouth wash was allowed. In my release papers, mouth wash was not allowed, only salt water. Did you get discharge instructions? Bryanna will post to you. She knows more in detail if you would be having an issue with infection, or something to do with the jaw after surgery. Take care, and post to Bryanna. She was assistant for 30 years. ginnie

UCF-Pre.PA 03-20-2012 03:07 PM

Since I have noticed I have quit and went back to the salt water rinse. My biggest symptom is the salty taste, there is little to no pain at all as of late.
Looking forward to what Bryanna has to say.

Bryanna 03-20-2012 06:31 PM

Hi UCF...

Well you know I'm going to say refrain from smoking.... anything.... until the sockets are completely closed over which could take several weeks. There are several negative issues with smoking when you've had oral surgery. But let's just say it can prevent the bone from healing properly and can cause the sockets to remain open.... all of which is not a good thing. So.....

Also.... do not rinse with anything other than lightly salted water. Just add a pinch of salt to about 3-5 ounces of water and rinse thoroughly. Do this about 3-4 times a day until the sockets close completely. Oral surgery or not, it is never a good idea to rinse with a mouthwash that contains alcohol because the alcohol and other chemicals decrease the salivary flow pre- disposing the person to tooth decay and periodontal disease. Also, rinsing with these types of mouthwash are very risky for anyone who smokes because when the mouth dries out, the tobacco.... etc.... is very irritating to the oral mucosa and this actually increases the risk of developing oral cancer. So all alcohol and/or chemical laden mouthwashes should be avoided.

The salty taste that you are experiencing..... did your dentist mention anything to you about a sinus perforation? Sometimes when the sinus is perforated, the person will get a salty taste until the perf closes over.

With regard to the receptionist performing your post op.... I can't stop laughing... sorry... but that is truly ridiculous... and illegal!!

Bryanna




Quote:

Originally Posted by UCF-Pre.PA (Post 862561)
Hi all, I just wanted to post my own symptoms as I am unsure of what the problem is. I had 4 wisdom teeth extracted two weeks ago today. Initially I thought the surgery went great as bleeding ceased in about 20 hrs and I didn't even have pain after 2 days from the surgery. 1 week ago, I went in for my follow up. Much to my surprise, the follow up was conducted by the front desk receptionist, not the oral surgeon (wtf?). Anyway, she simply asked me 3 questions and looked in my mouth for about 5 seconds, not even examining my top sockets. She said all looked fine. Here are my symptoms. Starting 5 days after extraction, I began getting the salty taste in the area of my top left socket. I have also had intermittent pain anteriorly to my left tmj (I would guess right around the area where that socket is). The pain has become less often as time goes by. I am a "smoker" but not tobacco. I occasionally smoke marijuana and have probably smoked 4-5 mj "blunts" (all mj tonacco) between now and 1 week post surgery. I did not smoke anything in the first week after surgery. I realize this has probably contributed to my situation.

Anyone have an ideas as to what could be my problem? (besides me smoking)
Any response is greatly appreciated!


UCF-Pre.PA 03-20-2012 07:03 PM

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.

Jedijud 03-25-2012 06:17 PM

Hey Ladies
 
Quote:

Originally Posted by UCF-Pre.PA (Post 862614)
Since I have noticed I have quit and went back to the salt water rinse. My biggest symptom is the salty taste, there is little to no pain at all as of late.
Looking forward to what Bryanna has to say.

Ok guys it's been a while I got the sinus perferation surgery done.Terrible pain if people say oh it's easy and none painful....They Lie.Ok he cut a fat packet in my jaw and placed it in the hole and covered the hole with gum tissue.Awsum that's great ......wait how does this work I add....well the fat that he placed in the hole has to rott in order for the tissue around it to grasp ahold and refuse the tissue cool huh.No I have a rott smell that is bad people in the room will leave my breath can kill flowers no joke.And as far as my wife kissing me that's not happening needless to say I went last week to get stitches removed and he didn't want to said he wanted it to be healed before cut the stiches lose.Ive had a bad fever and the pain is still there achy and dull the smell. Omg it's horrible zPack and pain meds are what are prescribed for this I hope anyone that has a sinus perforation reads this.It's serious

Bryanna 03-25-2012 07:14 PM

hi Jedi,

Your sinus perforation was very serious. Unfortunately, the diagnosis and treatment were delayed which probably caused further infection.

How long have you had the fever? Does your oral surgeon know about that?

Bryanna


Quote:

Originally Posted by Jedijud (Post 863964)
Ok guys it's been a while I got the sinus perferation surgery done.Terrible pain if people say oh it's easy and none painful....They Lie.Ok he cut a fat packet in my jaw and placed it in the hole and covered the hole with gum tissue.Awsum that's great ......wait how does this work I add....well the fat that he placed in the hole has to rott in order for the tissue around it to grasp ahold and refuse the tissue cool huh.No I have a rott smell that is bad people in the room will leave my breath can kill flowers no joke.And as far as my wife kissing me that's not happening needless to say I went last week to get stitches removed and he didn't want to said he wanted it to be healed before cut the stiches lose.Ive had a bad fever and the pain is still there achy and dull the smell. Omg it's horrible zPack and pain meds are what are prescribed for this I hope anyone that has a sinus perforation reads this.It's serious


Jedijud 03-26-2012 10:43 AM

Yes
 
Quote:

Originally Posted by UCF-Pre.PA (Post 862562)
I would also describe the problematic socket as a little "sore" when compared to my other open sockets. I'm not sure if I said It in the previous post but I have been using lister one mouthwash for a week instead of warm saltwater mix. Also, my spit has had some degree of discoloration for the entire two weeks post surg. Granted this past week has been much more normal colored.

He does I leted him know.But the male nurse that I saw before my surgeon wasn't having it?He told me it's like having a paper cut??I am like wtf he said my surgery was minor and really wanted to know why I was there???Ok Gaylord Focker surgeon walkedin asked what was going on I told him that Gaylord seems to think it wasn't that bad of surgery?Surgeon replied yes it was and a major dental problem dentist explained that the fat tissue will rott and cause a infection and that the pain was normal for kinda of surgery I had.That's why I go back tommrow it's still infected I doubt stitches will come out I have a slight fever dull cheekbone pain and the smell will turn people stomachs.


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