Root sealer extrusion - sinus pressure


Joined
Oct 12, 2022
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I had a root canal on #2 about two weeks ago. The first few days I was in intense pain (up until 1 week after). The sharp pain has since subsided.

The tooth is negative on cold/hot sensitivity and percussion test.

Last Friday I saw an Endo who prescribed me amoxicillin. I’ve been taking it since then and also mixing in Sudafed. I’ve been able to sleep several nights in a row now but my tooth starts to throb and get pressure if my blood pressure raises or I get stressed.

Endo said some sealer material extruded into my sinus and it should go away within a month. Is this true?
 
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4FBBA15E-D734-4F04-AB04-0CA8C8C7BA10.png
 

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Dr M

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Good day.

I have had cases where extruded root canal sealer causes symptoms which then subsides over time. Sometimes it takes shorter than a month, sometimes longer. Extruded root canal sealer into the sinus could become an irritant, which could lead to acute or chronic sinusitis. I would give it some time, then re-evaluate the symptoms and then return to the endodontist if the pain persists.
 

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Joined
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Good day.

I have had cases where extruded root canal sealer causes symptoms which then subsides over time. Sometimes it takes shorter than a month, sometimes longer. Extruded root canal sealer into the sinus could become an irritant, which could lead to acute or chronic sinusitis. I would give it some time, then re-evaluate the symptoms and then return to the endodontist if the pain persists.
Thank you. Is there anything you recommend I do to quicken the recovery? Neti pot rinse perhaps?
 

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Dr M

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For now unfortunately you only treat it symptomatically. Time will tell. If you are struggling with sinusitis, you can take sinus meds or if severe pain, any anti-inflammatory medication.
 

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Thank you! Oddly enough, my symptoms are mainly pressure in the tooth itself and slight pressure in my cheek. No runny nose or sneezing or anything like that. I’m at a loss. Doctor said it’ll clear up so who knows
 

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Dr M

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Could be sinusitis due to the extruded material into the sinus. Often associated with a "pressure" feeling
 

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