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Dentistry & Dental Issues For support and discussion about dentistry and dental issues. |
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07-06-2013, 09:28 PM | #1 | |||
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Grand Magnate
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Hi Grace,
Hopefully you are feeling better today. You can get a sinus infection from an infected tooth without a perforation in the sinus membrane. So that may be what had occurred with you if the OS said the sinus was intake when he removed the tooth. The one thing that concerns me is you said the extraction only took 3 minutes and he didn't do anything else other than remove the tooth. A thorough tooth extraction includes removal of the tooth, removal of the periodontal ligament and debrided of any visible necrotic tissue. Do you recall him doing that? When you see him on tuesday you might inquire about that. You could ask him something like this .... <<< I was surprised that the extraction went so quick considering that I had an infection that apparently had spread to my sinus. I did some reading on extractions and I want to know if you removed the periodontal ligament and scraped the bone clean of infection??>> Hopefully he did everything he should have done. In the meantime, keep the area clean with warm salt water rinses. No mouthwash as that will just irritate the surgical wound. Eat soft foods and avoid chewing on that side. It is best to make sure you brush and floss all of your other teeth very well to keep the plaque down. I do hope you are feeling better today Bryanna Quote:
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07-07-2013, 05:18 PM | #2 | ||
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Junior Member
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Thanks Bryanna,
I really really appreciate your reply. The OS didn't say the sinus was intact (if that's what you meant). He didn't mention anything after the extraction. Until I asked him, he said that the root is not in the sinus cavity. I am pretty sure he didn't do anything else other than extracting the tooth. The referral form from the holistic dentist states "extract the tooth and remove the periodontal ligament". During the consultation before the surgery, the OS asked me "what is that"? I briefly explained and he gave me an expression like that's totally non sense. I will ask the OS in the follow up appointment anyways. But I don't have much confidence that he did what should have been done. Bryanna, what options do I have now? If I did get sinus infection without a perforation in the sinus membrane, do I have any chance to recover on my own (get rid of the infection for both the tooth and sinus)? or Do I have to have the extraction site reopened and cleaned again? The infection around the sinus is still there that I can very much feel. Thank you very much Bryanna. Fortunately someone like you are willing to share the expertise here...... Grace, Quote:
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07-07-2013, 09:17 PM | #3 | |||
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Grand Magnate
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Hi Grace,
I know you do... that's why I'm here Regarding the attitude of the OS about removing the periodontal ligament...... he may have been taken back a bit by the general dentist stating in writing to remove the ligament. That's an ego thing.... he should have reassured you that he will take care of that instead of being an *** about it. Your GD had every right to give you that note because he is looking out for your best interest and wants to make sure you received the proper treatment as he was the one who referred you there. The first thing to take care of at this point is to tell the OS about your feeling that you have a sinus infection. Secondly, get a confirmation from the OS that he removed the ligament and any unhealthy bone. If he is vague about answering you, press him for a direct answer. He legally has to disclose what he did and didn't do at the time of the extraction. Request a copy of the surgical report if he's not willing to give you the information verbally. Again you have a legal right to this document. Too bad if his ego is bruised... that's his problem. There is no reason why he should not disclose this to you.... unless he didn't do what he was suppose to do :/ If you leave the OS office feeling unsettled or in doubt, I would suggest that you call your GD and speak to him directly about the situation. First of all your GD and yourself need to know if there is a possibility of residual infection. Secondly, your GD needs to be able to trust the referrals that he gives his patients. If you don't inform him, then he will assume all went well. I hope I have explained that okay.... Please try not to worry. think positive and stay focused on what you feel is important and proceed forward. Please check back tomorrow Bryanna Quote:
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"Thanks for this!" says: | ginnie (07-12-2013) |
07-08-2013, 01:02 PM | #4 | ||
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Junior Member
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Thanks a lot Bryanna. I will follow up tomorrow after I meet with the OS.
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"Thanks for this!" says: | ginnie (07-12-2013) |
07-08-2013, 03:29 PM | #5 | ||
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Junior Member
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Bryanna,
I just got the panoramic X-ray from OS's office. It was taken the day before the extraction (tooth #14). Could you please take a look? How was the infection at that time? Was sinus around the root? Many many thanks, Grace, Quote:
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07-08-2013, 04:20 PM | #6 | |||
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Grand Magnate
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Hi Grace,
Thanks for posting the panoramic xray. I have to tell you that the alignment of your jaw with the xray machine was not in the proper position which is an unfortunately common problem seen in many dental offices. If you notice, in the upper arch it looks like you have an upside down smile line indicated by the dark black line that comes across from one corner of your mouth to the other. Anyway, this angle causes the upper maxilllary area to be somewhat skewed (ie: undiagnosable) as you can see it is very black. The posterior maxillary where your molars are is somewhat less affected by this era as far as the teeth are concerned. However, the sinus cavity is not very visible here either. I can tell you that tooth #14 was very unhealthy/infected and appears to have some cystic activity around the roots. It is possible that this infection spread to your sinus. Whether or not there was a sinus perforation, the bacteria still could have infected the sinus. This area definitely needed to be debrided after the tooth was removed. It would behoove you to have a periapical xray (this is a single film) of the #14 site to show a better view of the anatomy there. It may tell if there was a sinus correlation with this tooth, if there is residual granulomatous tissue (cysts), and if there is a sinus perforation. I'm sorry to tell you all of this. I wish I could prevent these stupid mistakes from occurring. Some dentists need to be more strict not only about their own work but about the tasks that their staff perform. UGH :/ I suggest that you ask your OS to take the single xray. If he doesn't then see your GD. Hope your mouth is feeling a bit better today... even after I gave you this crummy news!! Bryanna |
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"Thanks for this!" says: | ginnie (07-12-2013) |
07-08-2013, 04:39 PM | #7 | ||
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Junior Member
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Thank you very much Bryanna for your quick reply.
Here is a X-ray taken on June 13, 2013, five days after the root canal treatment was done. The sinus infect was very bad at that time. I don't know whether this X-ray helps or not. The extraction was on July 2, 2013. Thank you very much Quote:
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07-08-2013, 09:13 PM | #8 | |||
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Grand Magnate
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Grace,
Thanks for posting this xray. It is an excellent shot! Let me explain about xrays ..... dental xrays are 2 dimensional views and they are meant to be taken straight on as this one is, however, it does limit the viewing field. That's why we sometimes take a different view called a bisecting view. But it is evident that your tooth #14 is directly in line with your sinus. Because the view is 2 dimensional, I cannot be sure if the root is actually into the sinus or directly in front of it. As I said previously, the sinus can become infected even if the root did not perforate the membrane. If the OS debrided the socket after he removed the tooth he would have been able to tell if this sinus was perforated and/or in communication with this tooth. A new periapical xray like this one may tell the story! I'm hoping you are feeling better but I get the sense that you're not feeling that well and still having issues with your sinus... yes? Bryanna The OS Quote:
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