Hi,

I had all four wisdom teeth out 8 days ago, and 3/4 came out with little issue. The upper right was close to the sinus, and I was told while I was in recovery that there is the possibility a small hole was created, but that they were pretty sure it was fine. I was told to not blow my nose, and that all would be fine.

Fast forward to Day 2, after my first rinse with salt water, I realized really quick that there was a hole, as water came out my right nostril. Based on what I had read, I decided that I would wait out the weekend and call the oral surgeon on the Monday. I got a hold of one of the nurses (Day 5), and was told that it would heal on its own, and not to worry. She said they would take a look when I came in to get my stitches out.

Day 8 (today) came, and I went in to get my stitches out. 3/4 sites healed up nicely, and the stitches were taken out by the nurse. I told her that the upper right site is extremely tender and puffy, and the 3 teeth (and gums) in front are inflamed and super sensitive to touch. In addition, I let her know that I still have an active hole as water and air still travel through it.

Doc comes in, sticks his mirror in my mouth for 15 seconds, says "looks good" and says it will be fine. I kind of gave him a look, and he said "I guess we can see you in 2 to 3 weeks to check on it again, gave me a prescription for more of the same antibiotics and sent me on my way.

Didn't notice until I got back to work, but the prescription is written out:
Clindamycin 300mg
Disp XV
sig 4 hr. prn pain

I might just be a chemist, but I can tell you that you don't dose antibiotics as needed for pain.

I have been wordy...
TL;DR Should the doc have done something for my sinus perf after 8 days? I am just worried it is going to get infected.

and are all oral surgeons this careless with their prescriptions? If anyone has any thoughts I would greatly appreciate it