First of Bryanna, I can't thank you enough for taking of your time to address my concerns. You cannot imagine how much sleep i have lost over this.

I go back to my OS day after tomorrow. I am petrified as to what he will do. One thing i know for sure is the hole is not closing up. This coming Thursday will be three weeks since the extraction and the extraction site still looks like it has a way to go. Fluids are going into my sinus and out my nose and from time to time i taste the salty taste at the extraction site. If i breathe in through my nose, i feel a twinge of pain at the extraction site.

What i have not mentioned until now is that i am in remission from lyme disease and am hoping one doesn't affect the other. In an effort to clean up my body, i took the opportunity that my premolar was hurting to also extract the first molar next to it which had a root canal. I may have made things worse for myself.

I have searched the net high and low and i cannot seem to get any feedback as to how difficult or painful it is to correct this. No one in my circle has even ever heard of such a thing as sinus communication.

Prayerworks,

You have not read much info on it because every case is unique. There are surgical sites that talk about sinus repairs but you would not understand the techniques they are discussing.

Also, sinus perforations are not uncommon when an upper posterior tooth is removed. However, they are not always diagnosed at the time of the extractions and not until symptoms occur or they are so small that neither the oral surgeon or the patient knows they have one.

Most sinus communications heal on their own. However, some factors that can complicate the problem are the patients health, smoking, poor post operative care, infection, retained root tips of the tooth..... etc.

The salty taste is from the sinus not the extraction. Removing 2 neighboring teeth in the posterior maxillary arch at the same time frequently result in a sinus opening or perforation. Especially if one or both of those teeth were root canaled or infected.

When you see the oral surgeon, please request an xray of that area. Don't let him talk you out of having one. The xray may be helpful in visualizing the extent of the opening, the location and if there are any retained root tips.

If he does not treat the area, he will probably tell you to come back in a week or two. At that appointment another xray should be taken to compare to the last one.

Bryanna

Thank you Brianna. You have been very helpful. I will keep you posted.