The oral surgeon who did the surgery is insisting that it is not a perforation
so upset
2 ER visits for pain that is incredibly intense
fluid coming out of all my upper teeth and bottom jaw
CT showed nothing but it was not a dental CT

I see my dentist tomorrow and the Oral surgery team at dalhousie will see me tomorrow once I see my dentist in the morning.

This has been the worst experience

Raye

Raye,

When you say fluid is coming out.... can you describe where it is coming from exactly? What about the color, taste and smell? Are you pressing on these areas to make it come out or is it coming out on it's own? Does it only occur when you put your head down or forward? Does it occur when are sleeping and do you wake up with this fluid in your mouth? Is it also coming out of your nose?

Unfortunately, a regular CT scan may not be helpful. A dental scan shows the different "slices" of the oral and sinus cavity. Why didn't they do a dental scan? What is the oral surgeons diagnosis if not a sinus perforation?

You poor thing :/ I know things are different in India than in the US. You really have to assert yourself and keep trying to get help.

Keep us posted okay...
Bryanna

Hi Bryanna,
ENT confirmed on CT that I have a tear...3-4 mm as of last night and says my sinuses are not infected...good news. My oral surgeon is such a liar. Do I believe it? i don't know what to believe anymore. The ENT said from last night til this morning it was only 1 mm by viewing it. He did a scope first thing this morning

Anyway, Dalhousie medical team of Oral and Maxillofacial surgery is fixing it .... on Thursday I am booked (was supposed to have it today but blizzard prevented us).

I am not pressing on any areas to make it come out ...it is coming out on its own. It is clear. Not sure about the taste....snotty like. Not coming out of my nose anymore...that stopped.


Just praying that it'll be okay til Thursday. I am still on heat (moist heat which is helping)

It helps just talking to you Bryanna, to be honest.
Raye

Also the extraction site is closed so this is freaking me out
Raye

Raye,

The oral surgeon is an *****. Your symptoms are classic sinus perf or tear. Thank God for the ENT dr!! I'm so sorry for all that you have been through. :/

The fact that the tissue has closed over is okay. They can still fix the tear anyway and hopefully that will be it! However..... if by chance your symptoms drastically subside by thursday, ask them to take another xray to make sure it is still open. I say this because if the tear reduced from 3-4mm to 1 mm then it may just close on it's own.

Hang in there Raye..... you will be okay.

Bryanna

Thanks Bryanna.
That's exactly what the ENT said lol. He also thinks I have trigeminal neuralgia from all this, but not sure really.

I still applied the moist heat yesterday which was immensely helpful.

My dentist was so upset at the original oral surgeon - and the ENT told me what he thought of my original oral surgeon which was NOT nice I have a team of good ones now (I believe affiliated with a group I have seen you recommend!) They could NOT BELIEVE the original oral surgeon's behaviour and lack of complication followup.


And guess who calls me today? The original oral surgeon (I am sure he heard through the grapevine some rumblings from colleagues, worried.) I of course let him have it and let him know what the others thought of him! I intend to report him to the college of physicians and surgeons in Canada.

Yes it's true in Canada we have to push - it gets tiresome when things go wrong.

Thanks for all your help and I'll keep posting updates

Raye (Nickname: Marcie)

Raye,

I am glad to hear that the ENT concurs with me... reassures me that I am understanding you correctly

Is the new dental group affiliated with the IAOMT organization? They are the ones I usually recommend to people as a referral source.

I didn't realize you were in Canada. When you said Dalhousie I assumed India! Yea, keep pushing.... sometimes you have to do that to be heard.

I check back later....
Bryanna

Well what a time it has been. Saw the oral surgeon in Halifax who agreed to fix my perforation in surgery the next day, then his decision was overturned by his superior who did not see or assess me himself. (Teaching hospital)

So back to dentist, a third oral surgeon, ENT still following. Here it is almost 7 weeks later, and an xray taken on Thursday by a new dentist still showed a oroantral communication...the extraction site is healing nicely but the edge of my molar beside it is still dripping sinus fluid. The dentist called the third oral surgeon but he doesn't want to go against the ENT, and wanted me to call the ENT. Why don't these specialists talk to each other?????

The ENT sent me for another CT on Friday (not the dental kind - we don't have that at our regional hospital) but he wouldn't look at the dental x-rays. So I am waiting to hear back from the ENT this morning but am still very upset that all this has happened. I finished my antibiotics 2 weeks ago but think I should be on them still so will ask today.

I am considering going to Ontario for care instead. Bryanna, any recommendations would be most helpful.