I'm scared to push smiling and trying my mouth to widen all the way. And the right side just above the operation site seems a tiny bit swollen but it's like more the face than the gum.
No other symptoms, I feel almost better than before the extractions.
Yes I mentioned, no answer, some slight shoulder movement and guilt in the eyes.
I didn't push him as I know he genuinely doesn't have a clue and. I just hope it goes away on its own. Will wait one more week and start facial exercise and soft massage....
I'm not going to see any other doctor for a month - wouldn't let anyone touch anything now anyway.

Thank you Bryanna, will post what happened later and try not to panic until.

Well, that's sorted. The stitches did hold something somewhere because what I only suspected yesterday - that the hole is open is certain now - like on the first day.
I'm beyond desperate. RELIGIOUSLY followed all advice, didn't even eat only liquids, no sneezing, no blowing the nose, talking or bending.

Now liquid and air goes again and the pulling is gone. Appears like something was stitched somewhere and without the sutures it broke lose.

question. Can the tissue that was used to cover the hold prevent it from closing on its own? I can not have another operation now - I have an appointment a month from now.
Is there any chance at all for it to heal on its own now? Any?

There is no infection, no pain.
I scared what's next.

Thank you.

ELna,

The pulling you had may have been due to the way the dentist stitched the wound closed. He may have pulled some of your upper cheek tissue over with the sutures to close it. Once he removed those sutures, the wound opened up. This indicates that the wound had not healed closed in spite of being sutured. I don't know what is preventing the sinus and the wound from healing if he tells you everything looks fine and there is no infection.

Obviously the sinus is open. Why he is not concerned baffles me. I know you have been careful to avoid doing certain things. So let's look at it from a different perspective. What are you doing? What are you eating, brushing your teeth with, rinsing with, what medications do you take, do you smoke, do you drink soda or alcohol...? I am just trying to see if anything in your lifestyle may be hindering the healing of the sinus.

On another note... I am glad that you are feeling better in spite of all this going on!

Dear Bryanna,

Thank you.
The OS who operated (both) are not back for another two weeks so the one who removed the stitches was just another dentist in the practice. It costs a lot just to be seen by an OS somewhere else and as I simply couldn't face another procedure right now will just wait I guess. But again, should be seen to be told there is hope for closing on its own...

I take nothing but vitamin c, multivitamins, l-lysine and homeopathic Arnica montana pillules to speed up (haha) healing, drink a tablespoon of pure aloe vera 5 times a day. Use bioptron lamp 2-3 times a day - that can't hurt.
I did take Belladonna pillules the first week, Amoxicillin 500 for 14 days, the nasal spray for 7 days then Sudafed for another 7. I'll return to nasal spray now if needed and might ask the GP for antibiotics to prevent sinus infection by all means. Until yesterday the stitches kept it kind of closed so sinus is fully exposed as of now, they appear clear yet.

I didn't talk much or have solid food since the extractions but had (all organic) juices and shakes made home from all kinds of vegetables and fruits, using almond milk rarely, water and coconut water. I don't smoke, don't drink alcohol or soda.
I rinse with sault water after every food (5), also used Corsodyl 3 times a day to prevent infection and clean the other teeth while the brush wouldn't fit in. I was given a syringe to use it on the holes. I know Corsodyl can slow down the healing but to none? I was told I needed it to keep infection off.
Now that I can brush (other teeth and tongue thoroughly and just pull the brush above the area very smoothly, no side movements there) I use Corsodyl in the evenings only.
I do not exercise, mainly rest - back to work on Friday.

Nothing else I can think of.
Thank you Bryanna, you've been helping more than you could imagine!
I'll try to exist with it and hope for the best. Felt a little pain since yesterday I think because it opened up.
Do you think I should go on antibiotics to prevent sinus issues?

Thank you so much,
Elna

ELna,

Thanks for sharing that information.

I really don't like the manner of which you have to see different dentists each time. That makes it impossible for someone to gauge the progress or problems. In the US, unless you go to a dental school or a multi dentist insurance run office, you will see the treating dentist every time. This enables the patient to be monitored more effectively.

I would not use the irrigation syringe in the oral sockets because that can push bacteria up into the sinus. So avoid that.

Perhaps you could benefit from adding a probiotic to your regimen. Supplementing with good bacteria helps to replenish and balance the intestines with healthy bacteria which helps the immune system to function better. It is essential to take a probiotic anytime you take antibiotics, have surgery, or any type of trauma. As a matter of fact, it is ideal for most people to take a probiotic every day of their life to maintain a healthy balance of intestinal bacteria. The one I currently take is called Custom Probiotics Adult Formula CP-1. I buy it online from pureformulas.com.

Without a proper diagnosis as to why the sinus is staying open, it is difficult to know what to do. Antibiotics should only be prescribed if there is an infection. Taking them preventatively is not really wise because not only do they alter the function of the immune system which can actually slow down the healing but they can cause certain infections to develop as they kill off the good bacteria that is essential to prevent infections in the first place.

I feel like you are in between a rock and a hard place because you have yet to have a proper clinical evaluation and reasoning as to why this is still open. I really wish there was a way to be seen by a private OS sooner than later.

I guess the only thing to do at this point is keep taking care of yourself, monitor your symptoms for any worsening issues, and pray that the sinus closes on its own. I know that is not real reassuring but without a clinical diagnosis, I don't know what else you can do.

Dear Bryanna,

Thank you so much for the advise again - stopped with the syringe and started probiotics.

Also went to the A&E. There was no OS on the premises but I was seen by a doctor who called one in the hospital for advise. In the end I was given more antibiotics and I was told to take it until they can see me in the hospital sometime next week, and that not to worry they'll fix this and they'll call me early next week for the appointment.

Also discovered what is the reason why my face feels not ok and can't smile all the way (even though the pulling of the eye is gone). Today had a look and found out that starting above my 4th teeth to the right, where they took the gum from for the second operation, the gum grew together with the upper front side of the inside of my cheek (probably during the first week when i could hardly open my mouth at all?), causing the movement restriction in the mouth and face.
I'm trying not to panic about this as I'm sure it can be fixed and I hope it's not a big deal. Better than if it was due to nerve damage, what I originally thought.
So next week they close the sinus hole in the hospital if not healed or at least much better. If it does heal, they can try to sort the gum - thing out I hope.

Unbelievable.
But on the positive side, I went to work today and it was ok, did the quite bits. And I don't know if it's because of the RC teeth gone, or the rest and the 2 weeks antibiotics, but my RHS seems to be rather better than worst - both balance and pain.

Thank you again! I hope I can update with a happy ending soon.
Elna

ELna,

I am praying that you get a break from this really soon. Enough is enough already!! :/

I think you have been incredibly tolerant of all that has happened. I really hope that whoever you see at the hospital next week is going to treat this problem competently and with compassion. Don't be shy, let them know what you have endured and how none of the dentists that you saw were concerned about this problem. Sometimes there comes a time when we need to speak up for ourselves in spite of what the "rules" are and make ourselves be heard in order to be treated better. You deserve to be taken care of properly.

Regarding the attached gum/cheek tissue. It is possible that the dentist did that on purpose because he may not been able to get what is called "primary" closure over the open wound by just stitching the gum tissue together. This surgical technique is usually done on purpose if there is not enough healthy gum tissue to suture the wound closed. So they pull some cheek tissue over it. If that was the case, then he should have informed you about that. Be sure to show the OS next week and please ask for an explanation. Let him know how uncomfortable that is.

Glad to hear you are taking the probiotics. It is best to take them faithfully especially since you are on the antibiotics. Do not take them both at the same time as that would be counterproductive. Take the probiotic on an empty stomach either first thing in the morning or last thing at night. If in the morning, then take your antibiotic at least an hour after taking the probiotic.

I am glad to hear that work went okay!! )

Try to continue getting rest, take good care of yourself and keep your optimism! Hopefully you will improve with each day and by this time next week you will be so much better

Bryanna

Dear Bryanna,
Hope you are well. Thank you for your last reply and help!
It is not over yet, not for a very long time I'm afraid.
Had the appointment at the hospital today.
They were nice, listened and cared, but in the end I was told that they'll try to close the (now 5x5mm minimum plus what can not be seen) perforation with the same method that failed twice.
If that will not work then they'll try the cheek thing you mentioned.
I asked her why do we think that the procedure that failed twice will have a different result this time and she said we don't know. Then I asked why we are not trying the other method straight away to which she replied that because if that fails there is no next step. Isn't this a bit weird logic?
I think it's about money - she has to try the cheaper before signing me up for the next one? This is local the other one is general anaesthetic.
I am really scared having anything done to the cheek because my smile is gone and the skin folds and pulls in between the mouth and nose already, I'm in constant discomfort and the gum and teeth on that side are not ok. I was told this cheek-involving operation will further narrow the mouth cavity on that side - I can not have that.
They said there is no point in touching the gum problem now, let's wait a few months to see how much it stretches and it still can be operated on if needed. It doesn't feel right though, my cheek starts straight above my teeth now on that side. But they are right I guess that fixing the perforation is more important, unless the constant irritation of the gum will not let it heal.
Do you think a palate graft could be done in this case? The first doctor said yes but they don't do it there the second one said it can not be used.
I know it is more painful but I much rather would have that one than torturing the gum further and would skip the trial - surgery altogether.
Would you tell me your opinion please?
Also, I know this is not a good question but don't you happen to know someone trustworthy in London UK? I'm prepared to finance all surgery myself if only I knew someone good and willing to do what's best for the patient (me). Please ignore the question if it is too much.
Regarding gum surgery - who do you think is the best to treat this problem? A periodontist would deal with it even if affects the cheek too?
Im sorry for firing questions again.
I was told to stop antibiotics now and I'm scared of adding serious sinus issues to the list.

She said the gum looks tender now and she'll operate when the inflammation went down. I asked what will cause it to go down (because I'm convinced that the pulling and stretching is causing trouble) and she said more time. But it's been more than 4 weeks already. I was booked for surgery for the 31st July, so I'll run around with a big hole for almost three weeks.
Do you think there is any particular risk to it or is it ok?

Thank you so much, again and again (and again).
Elna

Hi Bryanna,

I have added two pictures.
One of the gum looking like being connected to the face and hurtful when moving the mouth and another one of how the skin folds between the nose and mouth when smiling.
I was told just to wait a few months and it might stretch.
There is a chance for it to happen.
Doesn't the gum look like there's something really wrong going on there?
So sorry. Thank you!

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ELna,

I do not personally know of anyone in the UK to refer you to. If I did I would have no problem sharing that information with you. The IAOMT organization has a listing of holistic minded dentists. Please check out the names on this link. Let me know if any of them are within a reasonable distance from you. If so, I can check out their website for information and usually I can gauge if they are legitimately holistic or not.

http://iaomt.org/find-a-doctor/searc...ist-physician/

Bryanna