Extraction & Sinus Perforation

Discussion in 'Dental Archive' started by Jennie, May 23, 2006.

  1. Jennie

    Jennie Guest

    Hello, I looked for help on this topic before I wrote. I hope I am not
    bothering you with my question.
    I just got back from my local dentist and I have had the worst luck.
    I went in to have a tooth extracted. It was in very bad shape and I
    was told that pulling it would pretty much be the only option. The
    tooth is my last tooth on my right side top. The dentist took an xray
    and then pulled the tooth. Never said a word to me that there might be
    a problem. I thought everything was okay until I felt him stiching up
    my tooth socket. (I was thinking...I don't remember ever having
    stiches before when I had a tooth pulled) Well anyway, after he was
    finished stiching me up he proceeded to tell me that he saw on the xray
    that my tooth was into my sinus cavity and that when he pulled it it
    perforated my sinus cavity. Shouldn't he have told me that BEFORE he
    pulled it? I am now at home in major pain and my socket is bleeding
    badly. I am worried that I am going to get an infection. I was not
    given any antibotics. Should I have been? I don't see him again until
    next week when I get my stiches out. Thanks for your help!!
    Jennie, May 23, 2006
    #1
  2. Jennie wrote:

    You can't always tell beforehand which teeth will cause a communication
    with the sinus when extracted, but you should get a good guess which
    might from the x-ray. Yes, if he suspected the sinus could be entered
    telling you would have been the right thing to do, but honestly I doubt
    very much that this knowledge (other than in the legal sense) is very
    useful, as if the tooth really had to come out, it had to come out.
    Stitching over the extraction socket is the right thing to do, and he
    was honest enough to tell you what happened--the occurrence itself was
    almost certainly not his fault.
    I personally would have put you on antibiotics. Dave King, OMFS
    Extraordinaire--you out there? What is the current thinking on this?

    Steve

    --
    Mark & Steven Bornfeld DDS
    http://www.dentaltwins.com
    Brooklyn, NY
    718-258-5001
    Mark & Steven Bornfeld, May 23, 2006
    #2
  3. Jennie

    Dave King Guest

    On Tue, 23 May 2006 00:02:53 GMT, Mark & Steven Bornfeld
    <> wrote:
    I would have tried to get primary closure depending on the size as
    well as antibiotics. The vast majority heal uneventfully.
    Dave King, May 23, 2006
    #3
  4. Dave King wrote:

    Thanks, Dave!

    Best,
    Steve

    --
    Mark & Steven Bornfeld DDS
    http://www.dentaltwins.com
    Brooklyn, NY
    718-258-5001
    Mark & Steven Bornfeld, May 23, 2006
    #4
  5. Jennie

    Jennie Guest

    Thank you so much!!
    Jennie, May 23, 2006
    #5
  6. Jennie

    Joel344 Guest

    Joel344, May 25, 2006
    #6
  7. Jennie

    Dave King Guest

    On Thu, 25 May 2006 01:07:46 GMT, Joel344 <>
    wrote:
    I say what you just said.
    Oh, everything is relative.....
    Dave King, May 25, 2006
    #7
  8. Jennie

    steveedgar

    Joined:
    Jan 29, 2009
    Messages:
    1
    communication with sinus

    I had a tooth extraction upper (next to wisdom) 16 days ago here in Addis Ababa where I am on an extended work trip. They put me an antibiotic the day beforehand. There was perforation with the sinus and the dentist stitched it up. Stitched came out after a week. When I rinse my mouth there is a little water coming out my nose. I went to see a maxillary (?) specialist 2 day ago and he said that he may have to make some small cuts and re-do the stitches in a different way. He said he would check how it looks tomorrow. I am a bit loathe to have him do this unless it’s necessary? What are the chance that it will close up naturally. What advice?
    Steve
    steveedgar, Jan 29, 2009
    #8

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