Yes Ma'am, I own/run a CrossFit gym here but have not worked out since the procedure. The OS who did my extraction is one of my gym members and set the workout restriction.

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

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

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!

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]

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

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Hi Rick,

So what did the oral surgeon say?

Drop us a note when you can... thanks!
Bryanna



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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

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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





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Ugh, lol.. I feel like there has always been something "stuck" that kinda kept the sinus closed after the extraction. When I sneezed (a couple days ago), a rice-shaped piece came out along with all the puss. I now have all the advertised sinus communication symptoms "air flow to/from sinus, can't drink with a straw, etc." I'm guessing since it has been so long since the procedure and I have easy air flow, the OS will have to do surgery to close the communication or can it heal on its own? Can the OS capture a culture and determine the correct antibiotic?

ENT may be a bit more time waiting as it's through the Veterans Administration (VA) but I do have an appt in a week.

Thanks again for the input...hope you're having a great Sunday!

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