No pressure when I bend my head down. I rinse with salt water in the morning, late afternoon when I get home from work and after dinner and before going to bed. I have a cup of coffee around 1 pm, but I'm trying to drink it on the other side ( maybe not successfully ), no spicy foods, and I was trying to put on the gums PerioRub with phytoplenolin ( and other soothing herbs like aloe vera, echinacea,calendula,olive leaf ). Today I didn't put that on, and I still have some pain even after taking 600 mg of motrin ( today is the worst day regarding the pain. it's not unberable but it's there ).

nyuszisue,

Okay sometimes applying something to the wound can cause further irritation and puffiness. Keep in mind it is an open wound... open to the bone. So you really don't want to put anything on the opening that could get inside to the bone because the bone needs to remain sterile. I would suggest that you put nothing on the site. No herbs, nothing. Salt water rinses are good and keep doing that for several more days. When you see the oral surgeon, tell him what you have been putting on the site. It could be that the area is just severely irritated and that's why it's taking long to heal. But I cannot say that for certain.

No pain upon bending forward usually indicates that the sinus is not involved. So that's good. See if you can reduce the motrin to 400 and give it at least 30 minutes to kick in. You can always take another 200 mgs if necessary.

I wasn't putting that gel on the wound, just on the gums above where the tooth was and above neighboring teeth. I don't brush over the wound yet just around as close as I can and floss the teeth next to it, and don't eat on that side yet at all.

Anything you put on your gums near that site is going to get into that site via the saliva. That is why I suggested to refrain from using any topical at this time. I would not brush over the wound at this time either.

Sounds like you are doing what you can to keep everything clean... that's good!

How is the site feeling today? Have you had to take a lot of motrin?

I was fine all day long and then in the afternoon the pain returned, and actually it never happened before this way, I was bending down to pickup something from the floor when my gums (first the gums only ) started hurting. I had to take motrin. And sometimes the salt water helps the pain, but not today. Do you think I irritated my gums in the beginning when I used more salt in the rinsing water 4-5 times a day for the first couple of weeks after the extraction ?

nyuszisie,

Sometimes using too much salt will irritate, almost burn, the surgical wound. But if that is the case, then the irritation will heal on it's own.

The fact that you had no pain until you bent down indicates a change in pressure in your head or sinus. That could be indicative of a sinus perforation or communication. A dental periapical x-ray may be able to detect if you have a sinus perforation and how big or small it is. Most perforations heal on their own. Some need surgical intervention but most often within a few weeks they heal on their own.

The pain also can be intermittent and not happen every time you bend down. I would suggest if this happens again, see if it goes away on it's own after a few minutes before you take the motrin as you may not need to take it or may only need to take 200-400 mgs.

I called the general dentist again today because I didn't get the x rays by noon and I was told ( by the guy who was suppose to send them to me, and he is the dentist's husband by the way ) I'll get my pre and post extraction x rays later in the afternoon. And I didn't. I got so mad, because I wanted to post them here for you, but they are not in on Fridays so nothing till Monday. I don't know what was the problem, this is a general dentist who actually referred me to the jerk OS. And this is the general dentist who took the post op x ray ( 3 weeks after the extraction ) and she said everything looks ok on it, she didn't see if there is a sinus perforation or communication.