Hi everyone, the title says almost all. I had two upper molars on the left side extracted 17 day ago (no third maxillary teeth fortunately, agenenis ) and the extraction sites give me no pain now, but are covered with red (blood like) spots (especially the first molar, which is half rose like healing gum and half red like blood).

The teeth were badly root canaled (the dentist said) and they hurt bad despite no evidence of bone inflamation or bone loss (i told him to extract them despite his perplexity)

He told me about the possibility of sinus perforation and oro-antral fistulas but then he told me that the extractions went well (after all these days i have no hair in my mouth or liquid in my nose when i drink)

So I'm worried about those red spot

Thanks in advance!

Sorry for my poor English, I meant to say 'no maxillary third molar'.

Devblahaoslav,

If you smoke, chew tobacco, or drink alcohol daily, then you could have some changes in the pigmentation of the tissue, ulceration's or keratinized tissue.

If you don't partake in any of those things, you could have some similar issues going on. Either way it is be best to see the oral surgeon for a clinical evaluation and diagnosis.

Bryanna

No, Bryanna, I don't smoke or chew tobacco but a couple of days ago for the first time in maybe 5 months I had a couple of drinks with some friends of mine; hope I didn't do any serious damage at this point

Tomorrow I will schedule an appointment with my dentist to check the situation (maybe i'm wrong but here in Italy I don't think we have oral surgeons, instead we have oral and maxillofacial surgeons and dentists who both can practice oral surgery)

If the red pigmentations were already present before those drinks (i'm quite sure that is so), there is a chance that the tissue will heal by itself?

and again: do you think I have to ask for an x-ray to evaluate the state of my sinus base (although, as I repeat, I have no liquid in my nose or something like that)

P.s. thank for your answers, you changed my mind about root canals: you want to know? i have also two root canal premolars, the first one with a piece of instrument left in the root and the second one with an untreated canal: they will go away from my mouth soon

Lol I can't believe I wrote in my first message ''i have no hair in my mouth''! What an idiot.

Ok, Bryanna today I called my dentist exposing my issues and he said those red marks are the granulation tissue that will turn pink sooner or later (I told him I have no pain).

Anyway, he said that if I would he could take a look at it Monday (despite he thought it wasn't necessary)

I must admit now I'm a bit confused: shouldn't a healthy granulation tissue be just pink in colour more than two weeks after?

Hi Devblahaoslav,

Yes, the comment of no hair in your mouth was was interesting ... :->

The maxillofacial surgeon is an oral surgeon and that is who you may end up seeing if your dentist cannot give you a clear diagnosis. There may be some "additional" granulation tissue growing at the extraction sites. But that should be checked. A post operative xray of that area would not be a bad idea to check the surgical sockets radio graphically for pathology.

Bryanna

Thank you, Bryanna, you the boss of this section

In fact I asked you about the xray because when those failed root canal molars hurt, the pain increased when I walked and when I beat the top of my head with one hand (I read that could be a sign of sinus infection, despite no bone loss was seen on the intraoral radiography, only a piece of metal inside the second molar and the untreated 4th canal of the first one)

Devblahaoslav,

You're funny

Did you post xrays? I didn't see them. The pain you had in the top of your head could indicate a sinus infection or it could be inflammation.

Do you still have that pain?

Bryanna

No, Bryanna, I didn't post the xray because I don't have it (it seems that where I live dentists have this habit of don't give xrays copies, and patients usually don't ask for them)

Anyway, I talked to him about this pain when I hit my head and he said NOTHING

So I shyly (I am a very timid person irl) suggested him the possibility of a sinusitis and he asked me: You use to suffer from that disease?

I replied: No, doctor

So he nervously pushed his thumb on the portion of the face where's my maxillary sinus, asking me if I felt pain. I answered no, so he basically said: You don't have sinusitis

Then he made me see the xray, where no signs of infection or bone loss was found (except the fact that the root canal treatments on my molars were 'disastrous', his word)

No, Bryanna, I have no more pain when I jump, walk or hit my head (I hope it is a good sign).

Thank you for your time, Bryanna.

P.S.

The root canal treatment for my first molar (whose roots looked to be inside the sinus watching the xray) was done 3 years ago with the so called Sargenti paste and without a dental dam

Devblahaoslav,

I understand that you are shy. But please do not let anyone take advantage of you. Never hesitate to speak up if you have questions or concerns. Remember, dentists and doctors are JUST people.... they are not superior to any of us.

Pushing on your sinus with his thumb... tells him little if nothing. I wish he had been more thorough with you. It's good that you don't have sinus pain but not all infections cause pain until they are severe. So it is something to keep in mind in case sudden symptoms do arise.

The fact that your root canaled teeth were done poorly, is not the main reason the teeth failed. The reason is because the root canal procedure cannot cure an infected tooth. That procedure is done to attempt to allow a person to retain their infected tooth for an uncertain amount of time. So regarding the infection, it is irrelevant how well or how poorly the root canal was done as the tooth would remain infected anyway.

The root canaled tooth that was done 3 years ago with the sargenti... when do you plan on having that tooth removed? Do you have other root canaled teeth?

Bryanna