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Old 01-29-2019, 09:21 PM #1
Kkelley Kkelley is offline
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Smile Sinus perforation after wisdom tooth removal

I had two top wisdom teeth removed on January 11th. Four days after the surgery the right side was still very swollen and I started having a smelly discharge from my right nostril and out of the right socket. It was yellow and tasted bad. I went back to the oral surgeon and he said I have a small perforation and put me in amoxicillin/ augmentine for 7 days. The swelling started to go down the very next day and was mostly gone by the third day. But the drainage remained. It finally slowed on January 19th and seemed to stop on the 20th. However I developed a rash on the 6th day of the antibiotic and had to stop. The drainage came back from my nose and as a post nasal drip.the socket was clear. I then started having lots of sinus pressure and congestion on the right side. The doctor had a CT scan done and said my right sinus is full and prescribed azythromycin for 5 days and a nasal decongestant for the infection. And I was instructed to irigate the hole ( it is about 3mm, the rest of the gum has healed) with the prescription blue rinse three times a day. I have been doing everything he told me but on the 4th day of doing it thr Drainage from the hole is back. Itís not as much as it used to be but itís still there. Itís been teo weeks and three days after the surgery and the doctor keeps saying that the perforation will close. I donít feel any air going through it but I donít force it either. The water doesnít go up my nose when I drink. I feel a slight pain in the hole when I breath in. I donít have any swelling or fever. I will see him again in a week and a half. I am very nervous about the drainage that came back. Is there a chance that the perforation will close? Or is the drainage stopping it from closing? And can this be fixed?
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Old 07-22-2021, 09:05 AM #2
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Hi,

I am in almost the same position as you. What ended up happening? Are you alright now? Any pain at all? I'm a little nervous.

I have a small preforation, doesn't drain but I can feel air sometimes.

Appreciate any advice. Thanks!
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Old 07-22-2021, 10:42 AM #3
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Welcome, alrio1!

Someone will probably be along soon to reply to your question. From what little I know about this issue, sinus perforations after tooth extractions do usually heal up on their own but take time.
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Old 07-22-2021, 03:53 PM #4
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Welcome alrio1.
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Old 07-24-2021, 11:38 AM #5
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I hope so! I'll let you know in a few weeks. So far it's been 1 week since extraction
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Old 07-24-2021, 03:45 PM #6
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Hi alrio1,
Welcome to NeuroTalk.

If you use the search feature (Search this Forum - Top right under page numbers) then you will find many similar posts. I just typed in the keyword "perforation" and found a lot. There may be infomation in them to help you.

Last edited by Lara; 07-24-2021 at 04:02 PM.
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