Originally Posted by Bryanna (Post 1211383)

Rick,

It was a foreign matter but could have been tooth or bone related. Sometimes (quite frequently) when a tooth is extracted, a piece of the tooth or a piece of the jaw bone gets splintered or fractured off and it gets pushed during the surgery into a place where it may or may not be seen on an xray or a scan. Depending on where it is, sometimes it will work itself out through the mouth or the nose. The infection however may have progressed beyond the actual site of where the "piece" was pushed to. This could account for chronic sinus infections and the current perforated sinus.

It is imperative that your OS and the ENT collaborate on your case. One should not be doing anything without giving consideration to the problems in their entirety. Meaning, neither issue should be dismissed or overlooked when dealing with the other. The septum issue and the tooth related infection should not be dealt with separately.

The ENT must take into consideration all that has transpired with the extracted root canaled tooth. Beginning with the history of that tooth ... the fact that it was root canal and when ... the problems you had that lead up to the tooth being extracted ... the oral surgery to extract it and what was found during the surgery ... the post operative complications that occurred ... the timing of the sinus infections ... the "rice" like finding ... the pus that extruded ... the abnormal air flow ..... ALL of these things are important notes to be taken into consideration when dealing with your septum if you are to heal properly from that surgery.

The ENT and the OS need to collaborate on your case. You may have to insist upon it because doctors often have egos that get in the way of sharing cases with other doctors. Or they hesitate to make the contact because they know or suspect something has gone amiss with the care and they have to be careful how they approach the case. Either way, those issues are not your problem. Your problem is getting the best and most thorough care possible.

Please consider the information that I have given you seriously. If you have some doubt about the importance of the doctors collaboration ... read through all of Angels31 dental saga here on this forum. She's been through hell because her ENT and OS have yet to collaborate on her dental situation Which by the way with a few minor differences, happens to be very similar to yours.

Bryanna

Originally Posted by Bryanna (Post 1211383)

Rick,

It was a foreign matter but could have been tooth or bone related. Sometimes (quite frequently) when a tooth is extracted, a piece of the tooth or a piece of the jaw bone gets splintered or fractured off and it gets pushed during the surgery into a place where it may or may not be seen on an xray or a scan. Depending on where it is, sometimes it will work itself out through the mouth or the nose. The infection however may have progressed beyond the actual site of where the "piece" was pushed to. This could account for chronic sinus infections and the current perforated sinus.

It is imperative that your OS and the ENT collaborate on your case. One should not be doing anything without giving consideration to the problems in their entirety. Meaning, neither issue should be dismissed or overlooked when dealing with the other. The septum issue and the tooth related infection should not be dealt with separately.

The ENT must take into consideration all that has transpired with the extracted root canaled tooth. Beginning with the history of that tooth ... the fact that it was root canal and when ... the problems you had that lead up to the tooth being extracted ... the oral surgery to extract it and what was found during the surgery ... the post operative complications that occurred ... the timing of the sinus infections ... the "rice" like finding ... the pus that extruded ... the abnormal air flow ..... ALL of these things are important notes to be taken into consideration when dealing with your septum if you are to heal properly from that surgery.

The ENT and the OS need to collaborate on your case. You may have to insist upon it because doctors often have egos that get in the way of sharing cases with other doctors. Or they hesitate to make the contact because they know or suspect something has gone amiss with the care and they have to be careful how they approach the case. Either way, those issues are not your problem. Your problem is getting the best and most thorough care possible.

Please consider the information that I have given you seriously. If you have some doubt about the importance of the doctors collaboration ... read through all of Angels31 dental saga here on this forum. She's been through hell because her ENT and OS have yet to collaborate on her dental situation Which by the way with a few minor differences, happens to be very similar to yours.

Bryanna

Originally Posted by XFitRick (Post 1211736)

I did read that girls story and hope she's doing much better!

To clarify, I'm going to just let the OS do his thing (he's pretty legit) and then maybe re-approach VA ENT to fix the deviated septum later, as I've had that "issue" way before the tooth extraction.

The OS looked at it and was pretty confident it'll close on its own, again, I see him in 6 days for a follow-up. I'm still passing air through today, though not as easily as yesterday. I don't think all of the "motivation/yelling" from me teaching our Wed morning CF class helped with the healing process.

I'm keeping talking to a low volume, doing the usual netti pot, sinus moisturizer, flonase, mucinex-d, and have 5 more days of Amoxicillan from the VA.

Should I use mouthwash or an antiseptic? Also I read something about a "gel" to promote clotting...should I ask my OS for this? And do you think it'll close on its own?

Thanks again!!

Originally Posted by Bryanna (Post 1211883)

Rick,

Yea, keep the motivational yelling to a minimum if possible. Lots of air exchanges via the mouth and nose when we yell.

There is no need to use a mouthwash of any kind. Mouthwashes that kill bacteria kill all bacteria, both the good and the bad. The problem with that is the mouth needs good bacteria to help prevent cavities and gum disease. Just make sure to brush and floss your teeth thoroughly to keep the plaque down.

The gel is used immediately after the extraction of a tooth. Your situation does not warrant using the gel.

Bryanna

Originally Posted by XFitRick (Post 1212788)

Hope you had a great Memorial Day! it's been about a week and most of the communication path has closed, feel like I have just a small hole now. I can (by accident) blow air through if I eat/drink a certain way that applies pressure to it. Again, the hole is much smaller now (water doesn't flow through anymore when I netty pot it). Still think it'll close completely?

I see the OS Wed.

Cheers!

Originally Posted by Bryanna (Post 1212821)

Hi Rick,

Had a great weekend, thanks for asking ~'.'~ Hope yours was great too!

Glad to hear that the perf is getting smaller. As far as it healing completely, if the "reason" for the opening is remedied completely and there is no infection, then it should close completely. But if the "reason" is still present even after it seems to have healed, then eventually problems will develop again. I hope you are fortunate and the problem resolves completely.

Have a good week ...
Bryanna

Originally Posted by XFitRick (Post 1212986)

Sinus lift scheduled in 2 weeks. Said procedure will ensure pathway is clear of any foreign object(s), close up communication, and I'll leave with some type of mouth guard to use when I'm able to start working out again.

Feel relieved big time; btw my OS does CrossFit as well :)

Thank you again for providing the "calmness" during all of this. Will keep you updated when I'm all said and done!

Originally Posted by Bryanna (Post 1212991)

Rick,

Sounds like a plan!! You will have several days of healing from the sinus lift but hopefully the surgery will go well and healing will be healthy and complete!

Perhaps when all is said and done ... you can put your OS through a cross fit workout!! :)

Take good care of yourself and please keep us posted!

Bryanna

Originally Posted by XFitRick (Post 1215910)

Hey there, hope all is well on your end!

Had the lift which was much less painful than the initial procedure. No more antibios and infections, sutures are set to be removed/cut next week.

I'm sure I could have already started working out again, but used this as an excuse...will get back into it soon.

Have a happy 4th!

-Rick

Originally Posted by Bryanna (Post 1216034)

Hi Rick,

Thanks for the update!

Glad to hear the sinus lift went well! Did the surgeon say what his findings were ... tooth root or other?

I would wait to work out until the sinus is closed. If there is no irritation or infection, the sinus should close pretty quickly.

Hope your healing is uneventful and complete!!

Keep us posted .... take good care of yourself ~'.'~

Bryanna