surgical extraction sinus cavity
 

Hello.

I dont know if i can tell my story correctly cause my ability of thinking has been effect by the condition.

6 months ago . I went to oral surgeon to extract some root attached to the sinus . The surgery was good tell before it finished .i passed out on the dentist chair. I woke up shaky . Dizzy . Wiered . Scared .The surgeon said every if fine . We removed the root and the sinus preofrated . You should not sneez for 14 days or do strong physical activity and prescribed augumentain .

Since then . I started became tired dizzy . Nausea . i couldnt concentrare . Shaky .weak . Fatoque . Anxiety .When i drink coffe and reach the hole i almost passed out and become agitated .

When the food stuck in the hole i became more tired . I felt yhe air is going from nose to hole . Like squeezing.

I went back to tge surgeon . I told him im not feeling well . I feel im infected . He said . the site is healing well. No signs of infection . I tokd him i cant function im very dizzy and bauseated . Adviced me to see general doctor .

I got two days off job . When i wrnt i was fine till i finished the antibiotech . The next morning i ate my breakfast . Then i got like convulsion in my head .i couldnt talk well or stand up or act well .tge job sent me to ER . Where i saw ENT and many doctors . Didnt found any thin wrong.

I coildnt work so i took two weeks vacation . I saw different oral surgeons and ENT doctors . Mad CT .MRI. Xray scans .found infections in the sinuses

They said you r sinus is preforated and its small and it will heal . Just take antibiotech but they said it shouldnt make you fatique and sick like that . I said ok . I took tgem . then he saud it healed . Wgich it didnt . I

I became more ill waiting it to heal. It didnt . They said you shoukd psycgatrist . I told yhem im not crazy . I jusr cant get up . I feel the air is going from my nose reaching to the ear and gum hole.

I quit my job cause of illness.

I saw nerulogy doctor . And made ecg and brain mri . He didnt fiund a thing . He just put me on antidepressant and antipsychotic .

I took them . Even i was not happy . My faimly kept pusgibg me as im nut .after two months . Nothin changed I quit yhem since three montgs and went again to the same conditiin .

The gum hole looks smaller now .but when i breath i feel the air reaching to my ear . Constabtly dizzy . Naysea . Lack of appetite . Concentration sick alk the time . Waiting for my death .. I made alk blood tests .nothin wrong .

Idk if theres a food in the hole that healed over it . The sinus still preforated . I feel it. But doctors doesnt know.

I dont have pain . But i feek im going to explode and infected my be in sinus . Jaw . Idk .antibiotech help in this . But unfortunatly im allergic to most of them .

Im smoker since 20 years .

I want to add . That my gum are swollenin tge extraction are . Bit my face is ok . And never was swollen or never had a pain .

Pleas note tgat my gum is stilk swolken around the dxtractoon site and have some white things on it

Also . In ct scan it showed something . The dictor didnt know if hes root or bone fragment .

Alsio i have the worst head ache ever .my blood vissle in other back of my head started to show uo with blu color . Two weeks ago i went to brain doctor and ordered mri and did the neuro test . And every thin was ok except infection in sinus

Hi morte,

Thank you for explaining everything. I know you are not feeling well and I will try to help you. I am not here to judge you, just offer you important and helpful information. I hope you are open minded to the information that I am offering you here because you are going to have to make some changes and become your own advocate (take the bull by the horns) in order to get well.

A couple of things come to mind:

1- Do you only go to the dentist when you have a toothache?

2- Do you have other infected teeth and/or gum disease?

3- Please...... Stop smoking today. Smoking causes a severe lack of oxygen and red blood cells which can PREVENT or delay the healing of any dental surgery. Smoking can also PREVENT the sinus infection from clearing and it can also PREVENT the sinus perforation from closing. Not to mention.... tobacco contains over 4000 TOXIC chemicals many of which are known to be carcinogenic (cause cancer).

4- I do not believe that you are making up your symptoms, I believe they are VERY REAL. Your physical symptoms as you have described them could be correlated with a more widespread systemic (body) infection. This means that the tooth infection and possibly other infected teeth or gums, and/or the sinus infection has spread into your digestive system and/or your blood stream. When this happens, the intestinal (gut) microbiome (bacteria) becomes toxic and it has the capability to affect various systems of the body. It is not uncommon for someone to have a systemic infection and have memory issues and other neurological symptoms. IMPORTANT to know... these infections are not always picked up on routine blood work or body scans until they have become very severe.

5- I think you are being tossed from one dr to another because of 2 reasons:

1) You smoke which makes you a high risk patient for any form of treatment. It is not uncommon for doctors to just want to medicate people who smoke because they know that the patient's health is already compromised and if the patient is not willing to stop smoking then the dr knows irrelevant of what they do, the patient's health is not likely to improve due to the smoking. The bottom line is... it's hard to treat someone effectively when they are bringing harm to themselves (smoking) which prohibits any healing. I hope I have explained that okay. Any chance you will stop smoking??

2) You need to have a full mouth series of radio graphs to determine the health of your teeth and gums. If you have periodontal disease, which is a very progressive bacterial infection, or you have other infected teeth that need to be extracted.... your oral health, sinus health and systemic (whole body) health is in jeopardy until those problems are resolved. These infections, along with the smoking, can prevent healing of any oral surgery... prevent the sinus perforation from closing... and can cause you to become very ill.

Let me know your thoughts on what I have shared with you here.

Bryanna

I wrote big repky then i lost it and now posted it again .

Thank you . For taking the time to think of my condition . I di agree with you about these critical questions and i mighthave a gum disease .

I dont go to dentist except for emeregencies .i have two dead teeth need extraction and three needs fillings . My gum is kinda white and weak . I think its infected . Is the hole give tge gim infectiobs or the gum make the hole infected .?

Which heal first . Gum hole or sinus ?whats the possibilites and ways for normal healing .?

I know smoking is very bad . But im living with unbearable anxiety . And quit smoking make it more . ? May be nicotine patcg help .

*Also im so dehaydrated since many years . *

Hi morte,

Glad to hear that you are open to the information and thanks again for sharing more of your history.

I am going to re post some of your thread and reply to you in bold type. This can make it easier for all of us to follow.

<<Thank you . For taking the time to think of my condition . I di agree with you about these critical questions and i mighthave a gum disease. I dont go to dentist except for emeregencies .>>

SO YOU LIKELY HAVE GUM DISEASE. WHICH IS CALLED PERIODONTAL DISEASE AND AS I STATED IT IS A PROGRESSIVE SYSTEMIC (WHOLE BODY) BACTERIAL INFECTION. I HOPE YOU WILL CONSIDER GETTING THIS PROPERLY DIAGNOSED AND TREATED IF NECESSARY.

<<i have two dead teeth need extraction and three needs fillings .>>

DID YOU HAVE A FULL SERIES OF DENTAL XRAYS? THAT IS 18-20 SMALL XRAYS. DEAD TEETH AND DECAYED TEETH ARE ALL BACTERIAL PROBLEMS AND THEY WILL PREVENT OR DELAY HEALING AFTER AN EXTRACTION. SAME AS THE PERIODONTAL DISEASE.

<< My gum is kinda white and weak . I think its infected . Is the hole give tge im infectiobs or the gum make the hole infected>>

IT'S NOT THAT SIMPLE.
THE WHITE CAN BE PLAQUE, BLANCHED GUM, DEAD TISSUE AND/OR INFECTION. THE HOLE FROM THE EXTRACTED TOOTH IS AN OPENING INTO THE JAW BONE AND IN YOUR CASE THERE IS ALSO AN OPENING INTO THE SINUS. SO THE "HOLE" IS DEEP AND THERE COULD BE SEVERAL REASONS WHY YOU MAY STILL HAVE AN INFECTION. ALSO THERE IS SOME QUESTION ABOUT THE ROOTS OF THE TOOTH NOT BEING REMOVED AT THE TIME THE TOOTH WAS EXTRACTED. RETAINED ROOT TIPS WILL KEEP THE INFECTION BREWING. THE DENTIST SHOULD HAVE REMOVED THEM WHEN HE EXTRACTED THE TOOTH.

<<Which heal first . Gum hole or sinus ?whats the possibilites and ways for normal healing .?>>

-FIRST ALL OF THE TOOTH INCLUDING THE ROOTS HAS TO BE REMOVED.
-SECOND THE DENTIST HAS TO SCRAPE THE OPEN SOCKET INSIDE THE BONE UNTIL IT IS CLEAN AND CLEAR OF ANY TOOTH REMNANTS, LIGAMENT AND ANY OTHER DISEASED TISSUE AND BONE.
-THIRD THE DENTIST HAD TO CLEAN OUT A PORTION OF THE SINUS AT THE SAME TIME AS THE EXTRACTION OF THE TOOTH IF HE THOUGHT THERE WAS A PERFORATION.

STAGES OF HEALTHY POST OPERATIVE HEALING IN SOMEONE WHO DOES NOT HAVE PERIODONTAL DISEASE, DOES NOT SMOKE AND HAS HAD A THOROUGH EXTRACTION OF THE TOOTH, ETC:
-GUM TISSUE CLOSES AS THE OPEN SOCKET STARTS TO FILL IN WITH NEW GROWTH OF TISSUE AND BONE.
-THE GUM TISSUE CLOSES COMPLETELY BEFORE THE BONE IS COMPLETELY HEALED.
-THE JAW BONE TAKES A YEAR TO FILL IN COMPLETELY. IN THE MEAN TIME THE GUM CLOSES.
- THE SINUS PERFORATION CLOSES AS THE REST OF THE HEALING IS GOING ON.

<<I know smoking is very bad . But im living with unbearable anxiety . And quit smoking make it more . ? May be nicotine patcg he okay>>

SMOKING ACTUALLY MAKES ANXIETY WORSE AS IT DECREASES THE OXYGEN AND DILATES THE BLOOD VESSELS REDUCING THE BLOOD FLOW TO THE BRAIN, HEART AND OTHER ORGANS. TOBACCO IS ALSO A STIMULANT WHICH HEIGHTENS ANXIETY. PERHAPS YOU CAN SPEAK TO YOUR PHYSICIAN ABOUT QUITTING SMOKING?

<<*Also im so dehaydrated since many years>>
THE CHEMICALS IN TOBACCO AND SMOKING CAUSE DEHYDRATION. NO AMOUNT OF WATER WILL HELP PREVENT THIS AS LONG AS YOU SMOKE.

Bryanna

Thank you bryanna . Your vry helpful .

The strange thing is i never felt pain in surgical area . Never even in surgery . The surgery was to remove a root . Not a tooth . And in the scans it showed sonething remainig after the surgery . Different doctor said may be root may be bone fragment

I dont think i should open the surgery site again . Its been 6 month and i think some healing happened . The location of the root is left side before the wisdom teeth . The wisdom teeth has some infection and swollen around it but not in surgical site . The tooth before the surgical site has been root canaled 3 years ago and now its broken dead and infected . May be causing problem ?i started to think i should remove it though i became scared of going to dentist as i might get something worse in upper area .

Is it possible to prevebt healing . I dont think so . It may delay the healing but not prevent though i feel i didnt heal .

Also i drank alcohol for 10 years and quit last year . I took benzo also for 6 months .is this history may affect the condition .

Thank you alot.

Also i should add something important . When i take antibiotech i feel more better . But im allergic to most of them .

Also what about wisdom teeth . will they causing problems in general . Also i forget to mention tge tinnuites on the left side where is tge surgical are

Also . The jaw bone should heal . What if we are living in 1000 years ago . What domeone will do for this condition .

Also i had dry socket tgat time . How it should heal now . One day i went to dentist after two months from the surgery he clean the site with spray then it started bleeding but i felt better . Does this mean when he spraid it started buildin blood clot . Or wgat

Im dorry for alot of questions . But i was just strong before this happened . And now i turned to sick and dizzy .nauseated person . Who always needed help

How does the healing happened after getting dry socket .? I mean tgers no blood clot in tgeres a hole . How tge gum heal in my case . Will it heal from the bone to gum or vise versa or will shtink . Cause its a deep hole ?

What if the dentist stimulate the bleeding so that help healing

Im not on pain kellers . I dont take any thing now . Tge spelling errors cause im typing from the phone

Also i noticed that my teeth on surfery side is dislocated . The first and tge last teeth not on same line

If i made implant in tge area . Will this fix the problem

I swear its adry socket that last for 6 months . And not treated cayde of the stupid doctors font know how to treat it . I think they should stimulate bleeding to be treated . Whats the real treatment for dry socket . All of my searches say it woll eventually heal . When how .. Stoll not healing .

Im sorry . I dont mean a thing im just nervous about the proffesinals i saw who didnt help . Thats why i came here hopefully i can catch something to help . Proffesunals have ni clue for whats goin in . They said im nut .they actually dont know a way to treate dry socket .

And also im crying every day since 6 months . Really im crying . Wishing my self dead .

Most of our members are non professionals, you may need to find a dental professionals site for specifics on your dental troubles.
If possible seek more opinions with local dentists, sometimes being seen in person is best..

From our site guidelines
[Our forums are primarily meant for ordinary people to share their experiences, treatment stories, information, and such for emotional support and education about their condition. We believe such sharing empowers patients to become informed equal partners in their own care. Professionals are welcomed to participate as long as they check their professional hat at the door, and share their experiences as an ordinary human being. Professionals should not offer medical advice in our community.]


You can use the site search to find info in past postings..

Dry socket treatments- All I can suggest is read the links and maybe try a suggestion from them.
https://www.google.com/search?q=trea...eat+dry+socket

So this is to update.

I went hoplessly to new doctor who was like friend . And asked him about the conditokn.

He made ct scan for the jaw and found a hole in jaw to sinus thats not healing after 6 months . He said it should heal by 6 months ir at least see difference .

He will consult anothrr doctor and told me to see him tomoorow .

I think sinus preforation havent healed do the jaw bone didnt heal .

SO i called the doctor .he explained that we need to clean tge sinus then do bone graft in the space and remove any black in jaw bone .

Idk what should i do . But i think of taking antibiotech will help tge healing of jaw .

morte,

Based on your description and the other information that has already been shared here, some possible reasons why the area has not healed are:

1) The oral surgery to remove the tooth was incomplete. Meaning the scraping of the bone and sinus was not thoroughly done after the tooth was removed. You may also still have a piece of the root in or near the sinus.

2) The infection was so severe with the tooth that the opening into the sinus may be larger and the sinus may be more infected than originally diagnosed.

3) The infection from your gums and the other bad teeth that you have are contributing to the intensity of the dental infection as well as to your other physical health concerns.

4) The toxins in tobacco increase the susceptibility to bacterial infection. This means smoking can easily increase the risk of further infection and even prevent the cure of an infection. Smoking also decreases oxygen and the formation of red blood cells, both of which are necessary for healing.

Antibiotics cannot cure the infection that you have and the oral surgery to clean out the extraction site and the sinus is necessary. However, healing from that surgery will not be much, if at all different than what you are experiencing now if you continue to smoke and continue to have other infections in your mouth.

I'm really sorry you are going through all of this. Your dentists and doctors should be talking to you about the correlation between the infections and your smoking and offer you a comprehensive treatment plan to address all of those issues before you have the oral surgeon clean out the extraction site and sinus.

I hope everything comes together for you very soon and your dental and physical health improve.

Bryanna

Thanks baryanna ao much .

Just one questiin . The doctor made tge sinus test cavity and said its not opened .

If i quit smoking and took antibiotech will it heal ?

morte,

You have mentioned a few times how more than one dentist/doctor has told you that there is an opening into the sinus that is correlated with the recently extracted tooth. A definitive diagnosis needs to be determined which can be done by an oral surgeon. How many ct scans have you had done in the last few months? Do different doctors keep taking them?

The antibiotic is not going to be much help as long as there are other areas of infection in your mouth, like gum disease and bad teeth, contributing to this infection. Quitting smoking is necessary for obvious reasons and will be most helpful in the long run. However, you will also have to address the badly infected extraction site and sinus along with your other infected teeth and gums as they are all greatly contributing to the problem.

Bryanna

Your great . Thsnk you . I have just one last question.

I want to forget at all about every thing i said and just evaluate that if you can.

That time in tge surgery every thin was fine till he stitch the gum . Then i passed out . And woke up shakey .racing hear . Dizzy . Confused . After 4 days i went back to remove the stiych . And after ge remived it . I felt like my skull is moving inside and shiffting . from that day i had tge constan nausea . And severe anxiety abd dizzendess .

Is it possible tgat the doctor made head injury in yhe surgery ?. I did every thing brain mri and every thing . But every thing os fine .

morte,

Everything is relevant. Meaning there is not just "one" particular cause of your dental and physical health concerns.... there are several contributing factors of which I have mentioned.

The experience that you had while in the dental chair does not sound like any type of injury having to do with the actual oral surgery. Based on your description, it sounds like you had a possible panic attack or may have hyperventilated... or both. Your blood pressure could also have dropped or risen quickly which either way would have added to the episode that you had. The after affects of an experience like that can linger for several days if not much longer in some cases. Are you being treated for high or low blood pressure by your physician by any chance?

As I mentioned previously, the bacterial infection with your gums, other teeth and with this particular extraction and sinus are all contributing factors to your physical health. A sinus infection alone can cause the symptoms you have described. It is important to understand that the bacteria causing the infections is not limited to just your mouth because it is moving through your blood stream. Also the chemicals in the tobacco exacerbate the infection making it worse. These things are all contributing factors for a variety of symptoms to occur, many of which you have mentioned.

A possible game plan would be to see your general dentist and decide on a dental treatment plan to address your dental infections so your dental health can be managed better. This plan may include removing the other infected teeth. However, it's best to have an oral surgeon do the extractions, not your general dentist. After you see your dentist and have a plan to move forward. Then see an oral surgeon to have that upper site and sinus cleaned out and possible additional extractions. Heal from that surgery and move forward with the rest of the treatment plan.

Bryanna

I want to attach ct scan . But idk how to do it . Please advice me

morte,

Don't send me the ct scan. The images may not come through clear enough to read it. Also, I am not a doctor or a dentist so my opinion is not to be taken as medical advice. It is important that the doctor or dentist that took the scan be able to interpret it properly for you.

Have you and your general dentist discussed your dental health and come up with a treatment plan?

Bryanna

I send it to tge oral surgeon and he shall tell me tomorrow whats goin on .

Theres a large hole in the jaw hasnt been healed . And two dead root canaled teeth .

I read an article that dead root canaled tooth my affect the overall health of human

Morte,

Good to know that you sent the scan to the oral surgeon.

Yes, root canaled teeth are non vital and and also unhealthy. Any unhealthy, non vital tooth can cause or contribute to physical illness. This fact has never been disputed by anyone in either the dental or medical profession.

If you want to read about how root canaled teeth can affect your health, then the new book called "The Toxic Tooth How a root canal could be making you sick" written by Dr Robert Kulacz (a dentist) and Dr. Tom Levy (a cardiologist) is very informative.

Please let us know what the os has to say about the scan.

Bryanna



QUOTE=morte;1204668]I send it to tge oral surgeon and he shall tell me tomorrow whats goin on .

Theres a large hole in the jaw hasnt been healed . And two dead root canaled teeth .

I read an article that dead root canaled tooth my affect the overall health of human[/QUOTE]

Also i made vitamune d test and it was 19 . The normal range between 25 -100 . So may be this insuffecincy also affect the healing .im think to take a course

Baryanna . I reall really thank you . You were amazing answering my questions . And im sorry for having alot of questiins .

I will update with what the oral surgion say .

Dear bryanna .

I thank you alot . I went to my dentist and asked hime to remove the dead root canaled tooth beside the surgery site . Last tgursday . He said we hope that this is the reasob tgat prevent healing .as root canal tooth contaibs bacteria that immune syatem cant reach .

He removed smoothly and put me on claynabmycine .

Wgat i notice tgat the hole of surgical site started to produce whote stuff and shrinking which i think the healing started .

Im waiting ti finish the anti biotech and see whats goin on . I think i started healing after 6 months . But i wont be sure till i finished the antibiotech . And see whats goin on in the hole .

Also i read that the white stuff is granulation tissue whish is good . Im windering should i remive the white stuff . Or leave it .

Morte,

The white stuff could be a few different things.

1) Plaque or food debris
2) Sloughing off of tissue
3) The tissue could be blanched from smoking
4) It could be pus from infection.

Do not try to pull it off with anything.
If it does not come off easily using warm salt water rinses... OR it does come off but keeps recurring, then see the oral surgeon.

Bryanna

Hello .

Thank you .bryanna . I know i took long time from you to answer my questions abd im sorry for that but i keep asking cause i feel your so expert and logical which i cant find it in surgeons i met.

The white stuff kept recurring so I went to the oral surgeon . He said the white stuff could be different thing . But no need to worry about it . He told me that your healing well .as theres 70% of new bone in xray . And advice me to take antiinflammatory so i started rinsing with oilve oil which is great.

Also i started taking vitamibe d cause im diffecint .

The point im still getting infection in the sinus and i use olive oil to relive it which works wonder .

Doctors made me confused . one ssid you need surgery . Another one said no you dont need it .Can healing happened of oroantrsl fistula . Even on long term . Or do i really need surgery .? I mean you told me once that the gum heal at first then bone and the last thing that heal is the fistula or preforation .

So is there possibikty to heal without surgery regardless .?

Do i need the fistula to be closed to start heal ?or theres another way to heal starting from the gum thenn bone then fistula and if yes then i should make sure gum is closed at first ?im asking that just to be sure that im healing even slowly

And thank you

And just a note my nose cavity in the surgical side still collapse when breathing .

When taking strong breath from nose.