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-   -   sinus problem after apical surgery? (https://www.neurotalk.org/dentistry-and-dental-issues/161332-sinus-apical-surgery.html)

mike4you 11-28-2011 01:42 PM

sinus problem after apical surgery?
 
Hi all,

This is my first post. I would be gretefull if somebody can give an answer.

Here is the story. I had a root apicoectomy (the 24 molar) and there was a sinus membrane perforation. I don't know if this is an error or not. After surgery I had no pain at all but my left side nostril felt a little strange.

Now after two months I did an X-ray and I found out that one root (of the two) was not operated.

The doctor said that is ok but I feel like I have something in my nose. My concern is that the root left untreated (in the same size as before) is keeping the sinusal membrane from closing. I'm not a physician so maybe you will find my conclusion imposible from your point of view. :hug:

I had a little cold so maybe this can be the answer.

To get a second opinion I have to travel in another town because there is only one doctor here.

I can attach some X-rays if somebody can use them to solve the mistery.

Thank you all for reading my post. You have a great forum here.

ginnie 11-28-2011 02:48 PM

Hi Mike
 
There is a wonderful gal named Bryanna, who knows alot about dental issues. Please look into the dental thread, and ask her. You can also privately ask her on your own thread. It does sound like you need some advice. I hope you can find her real soon. She has been in the dental office for many years. I hope you find a solution soon. ginnie

Bryanna 11-28-2011 06:54 PM

Hi Mike,

Yes, please post the xray as it may help figure out what is going on.

You mentioned tooth #24 as a molar.... I'm not sure where you live but in the US tooth #24 is a lower front tooth. That's ok, the xray will show me exactly what tooth it is.

I'll check back later or tomorrow to see if you have posted the xray. Thanks!

Bryanna




Quote:

Originally Posted by mike4you (Post 828197)
Hi all,

This is my first post. I would be gretefull if somebody can give an answer.

Here is the story. I had a root apicoectomy (the 24 molar) and there was a sinus membrane perforation. I don't know if this is an error or not. After surgery I had no pain at all but my left side nostril felt a little strange.

Now after two months I did an X-ray and I found out that one root (of the two) was not operated.

The doctor said that is ok but I feel like I have something in my nose. My concern is that the root left untreated (in the same size as before) is keeping the sinusal membrane from closing. I'm not a physician so maybe you will find my conclusion imposible from your point of view. :hug:

I had a little cold so maybe this can be the answer.

To get a second opinion I have to travel in another town because there is only one doctor here.

I can attach some X-rays if somebody can use them to solve the mistery.

Thank you all for reading my post. You have a great forum here.


mike4you 11-29-2011 07:02 AM

Quote:

Originally Posted by Bryanna (Post 828275)
Hi Mike,

Yes, please post the xray as it may help figure out what is going on.

You mentioned tooth #24 as a molar.... I'm not sure where you live but in the US tooth #24 is a lower front tooth. That's ok, the xray will show me exactly what tooth it is.

I'll check back later or tomorrow to see if you have posted the xray. Thanks!

Bryanna

Good morning Bryanna. I didn't expect such a quick response. I can't upload pictures because I am a beginner user :( and I have limited access. If you have any solution to this please let me know.

mike4you 11-30-2011 08:24 AM

Quote:

Originally Posted by mike4you (Post 828375)
Good morning Bryanna. I didn't expect such a quick response. I can't upload pictures because I am a beginner user :( and I have limited access. If you have any solution to this please let me know.

**

Thank you Ginnie and Bryanna for trying to help. **

Chemar 11-30-2011 08:31 AM

Hi
you should be able to send PMs

just a few more posts and you will also have access to all our other features :)

we have these defaults in place to prevent the spam with which most forums are inundated

mike4you 11-30-2011 05:41 PM

Quote:

Originally Posted by Chemar (Post 828687)
Hi
you should be able to send PMs

just a few more posts and you will also have access to all our other features :)

we have these defaults in place to prevent the spam with which most forums are inundated

Hi Chemar,

I believe you. Can you do some magic for me, please :p. I have one day left to get some answers. My doctor thinks everything is ok and I will have to pay for another expensive intervention. Maybe this tooth need to be extracted before is to late. I don't want to get an infection after a few months. Here are some nice people who want to help me. I don't know how to send messages.

Bryanna 11-30-2011 07:48 PM

Mike,

I am not able to help you with regard to the sinus issue without the xray.

For general information.... Root canals and apicoectomies do not make a sick or painful tooth well again irrelevant of how well they are performed. It doesn't make any difference on the skill of the dentist or how many times the procedure is done ..... there is no cure for a tooth that is infected. If the tooth wasn't infected prior to the root canal or apico, then it became infected after the procedure because the blood supply which provides the tooth with nutrition is completely cut off causing the nerve tissue inside the tiny canals to become necrotic and sick.

You stated that your big concern is whether the tooth will become infected.... as I've stated above, all root canaled teeth and those that have had apicos remain infected after the procedure. To answer your question about the longevity of this tooth.... it will be in a guarded to hopeless state.

There are many systemic and oral complications that can occur with infected teeth, that is why it is healthiest to have them removed.

Hope this info helps you.....
Bryanna




mike4you;828796]Hi Chemar,

I believe you. Can you do some magic for me, please :p. I have one day left to get some answers. My doctor thinks everything is ok and I will have to pay for another expensive intervention. Maybe this tooth need to be extracted before is to late. I don't want to get an infection after a few months. Here are some nice people who want to help me. I don't know how to send messages.[/QUOTE]

mike4you 12-01-2011 10:54 AM

Quote:

Originally Posted by Bryanna (Post 828843)
Mike,

I am not able to help you with regard to the sinus issue without the xray.

For general information.... Root canals and apicoectomies do not make a sick or painful tooth well again irrelevant of how well they are performed. It doesn't make any difference on the skill of the dentist or how many times the procedure is done ..... there is no cure for a tooth that is infected. If the tooth wasn't infected prior to the root canal or apico, then it became infected after the procedure because the blood supply which provides the tooth with nutrition is completely cut off causing the nerve tissue inside the tiny canals to become necrotic and sick.

You stated that your big concern is whether the tooth will become infected.... as I've stated above, all root canaled teeth and those that have had apicos remain infected after the procedure. To answer your question about the longevity of this tooth.... it will be in a guarded to hopeless state.

There are many systemic and oral complications that can occur with infected teeth, that is why it is healthiest to have them removed.

Hope this info helps you.....
Bryanna




mike4you;828796]Hi Chemar,

I believe you. Can you do some magic for me, please :p. I have one day left to get some answers. My doctor thinks everything is ok and I will have to pay for another expensive intervention. Maybe this tooth need to be extracted before is to late. I don't want to get an infection after a few months. Here are some nice people who want to help me. I don't know how to send messages.

[/QUOTE]


Hi Brianna,

Tomorrow morning (14 houres from now) I have an apointment to my doctor. I cannot ask him to have my tooth removed for no reason. My concern is that the root left untreated is keeping the sinusal membrane from closing.

My e-mail adress is: mike4you16 yahoo com
I know is almost imposible but if you can add me untill tomorrow I will send you the X-rays.

Anbody else know a doctor specialist in oral and maxillofacial surgery who can answer my question tonight? I will pay for his services if I have to. Thanks.

Chemar 12-01-2011 11:19 AM

Mike
if you look at the drop down menu under Bryanna's name here on her posts (click her name) you will see the option to send a private message...not sure why you are having difficulty but I have checked your account and all is in order so you should be able to send the message:confused:
You can also send it from your User CP under the left menu "Send New Message"


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