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12-27-2015, 04:00 PM | #1 | |||
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Grand Magnate
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Hi Rick,
There is no real "common" sinus perforation. There are certain pre existing circumstances that can cause or result in a sinus perforation and having a root canal done in an upper tooth is one of them. The reason being is that the root may be perforated during the rc procedure which could also perforate a sinus membrane that is in close proximity of the root and/or the perforation of the root can allow bacteria to flow from the tooth into the sinus area. If the upper rc tooth also had an apicoectomy performed that could deteriorate the integrity of the bone protecting the sinus membrane leading to a sinus perf and/or infection. If the upper rc tooth was severely infected the bacteria can spread easily into the sinus area... etc. Depending on the size and location of the sinus perforation as well as the resiliency or tenacity of the infection, the opening may take several weeks or longer to close. Yes, the infection needs to clear or mostly clear in order for the perf to close properly. If the wound and the bone are not infected and healing well, then the best way to gauge if a sinus perf is closing is to be aware of the changes in the symptoms. Meaning are they increasing, decreasing, diminishing slowly.... Keeping your mouth open all the time is not ideal as this causes the oral tissue to dry out. You want the mouth to remain moist with saliva just as it should be. Drink enough filtered water throughout the day to the equivalent of half you body weight in ounces. Not only does this encourage salivary flow but it removes toxins and bacteria from the body, aids in keeping hydrated and encourages healing. Your name... XFitRick... does this indicate that you exercise frequently? If so, is it extreme or considered strenuous like lifting or are you a runner, etc? I ask, because believe it or not certain forms of exercise should be curtailed during the post op phase of tooth extractions and also during any type of sinus infection. It has to do with elevating the heart rate and the correlation that has to the mouth and the sinus. Bryanna Quote:
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Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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12-27-2015, 06:59 PM | #2 | ||
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Junior Member
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Quote:
I feel the air flow is now harder and maybe even non-existent (I'm not going to test this, ha). Will step up the water consumption. Like many others, we often jump on social media to find medical answers and panic when we can't find our specific issue, so again, thank you for the reply! Happy holidays! -Rick |
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"Thanks for this!" says: | Lisamst (04-17-2020) |
12-27-2015, 07:37 PM | #3 | |||
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Grand Magnate
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Hi Rick,
I should have been a detective... Good to hear that the OS talked to you about exercise restrictions and you have complied with his suggestion! Today's description of your symptoms are positive and indicate the sinus is mending. Yea, the less you bother with it the better. Just let it be and hopefully within a weeks time it will be perfect. Be well, Bryanna Quote:
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Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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02-12-2016, 01:41 PM | #4 | ||
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Junior Member
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Hope all is well on your end. I haven't had seasonal allergies for a few years (when i eliminated dairy from diet). However, since the procedure, I've been congested, bad oder from nasal drip and am now on my third round of antibiotics (Augmentin) for what appears to be a continued sinus infection. The communication (opening) seems to have closed, though I can feel pressure at the site (no airflow) when I blow my nose w/mouth closed. I feel like I need to add a decongestant to minimize the strain from blowing nose, etc. Should I shoot for the implant now and get all that healing time out of the way? Thanks! |
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02-15-2016, 12:36 PM | #5 | |||
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Grand Magnate
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Hi Rick,
I'm doing well thanks ... hope all is good by you too! Sorry for the delay in replying, I was away for a few days. Before you do the implant, it is wise to have the sinus checked out more thoroughly. It is not uncommon (although often misdiagnosed) to have residual infection lurking in the area of a previously root canaled tooth. This would account, at least in part, for the chronic inflammation and "sinus" infection that antibiotics are not clearing up. There could be other irritants adding to the problem but the probability of it being related to the original tooth infection is something that needs to be evaluated, treated, or ruled out prior to placing the implant. I think it's important to keep in mind that your maxillary arch and sinuses are in close proximity to your brain. So chronic infection in that area can migrate beyond it's original source over time. It is imperative that the jaw bone and the sinus are healthy and free of infection before you place a dental implant. Anything less than healthy predisposes you to infection, bone loss and failure of the implant. If you have not seen an Ear Nose and Throat physician, then it may be a good idea to do so. Sinus scans are used to detect generalized sinus problems which may be useful in your case. While 3D dental scans are good at detecting abnormal pathology in the maxillary arch and certain areas of the maxillary sinus which may also be useful in your case. Bryanna =XFitRick;1198820]Hey Bryanna, Hope all is well on your end. I haven't had seasonal allergies for a few years (when i eliminated dairy from diet). However, since the procedure, I've been congested, bad oder from nasal drip and am now on my third round of antibiotics (Augmentin) for what appears to be a continued sinus infection. The communication (opening) seems to have closed, though I can feel pressure at the site (no airflow) when I blow my nose w/mouth closed. I feel like I need to add a decongestant to minimize the strain from blowing nose, etc. Should I shoot for the implant now and get all that healing time out of the way? Thanks![/QUOTE]
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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03-06-2016, 04:55 PM | #6 | ||
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Junior Member
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I'm headed back to the OS tomorrow...hopefully we can get this figured out. If it continues, I'll inquire with ENT.
Thanks again! -Rick Quote:
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"Thanks for this!" says: | Bryanna (03-06-2016) |
03-08-2016, 08:26 PM | #7 | |||
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Grand Magnate
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Hi Rick,
So what did the oral surgeon say? Drop us a note when you can... thanks! Bryanna [/QUOTE]
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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05-14-2016, 04:21 PM | #8 | ||
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Junior Member
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Hi Bryanna...so here's the latest,
I've been to the VA ENT. They did a CT scan and put me on 1 month (2x day) Amoxicillian. Said I have a deviated septem and will likely do surgery. They saw the soft tissue from the extract but said the septem is more of the problem. Today I felt a pop sound at the extraction site and puss just started flowing out. I'm guessing this is the same puss the doc showed me on the scan (he compared one side which was black and the other which was white with a little black) Said "black sides matter," not really, ha. He did say the black indicates air and is what the issue side should look like (saw only a small air pocket) I can now bring in air (communication) from the sinus, not the "water coming through" size, but if I apply suction from the mouth or blow it releases or introduces air. I'm guessing this is bad? Yikes! Hope all is well on your end - Rick Quote:
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05-15-2016, 01:00 PM | #9 | |||
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Grand Magnate
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Hi Rick,
Yes, black sides do matter ..... I mean the black on the scan indicates air which is what you want to see pertaining to the sinuses. The air is a problem as it means the sinus is open someplace. You also have a nasty infection that may not be related at all to your deviated septum but it may be just as, if not more, significant than the septum issue. The oral antibiotic may not work and/or it may not be the appropriate species for the bacteria that is causing the infection. A clean catch specimen of the pus sent to the lab for a culture would determine the proper antibiotic. I would ask the ENT if he can do that. Also if the infection is still present when you have the septum surgery, you could have surgical and/or post op complications due to the unresolved infection. So the infection is an issue. I'm sorry you are going through all of this.... Bryanna Quote:
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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