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The surgery which you just received has left a perforation in the membrane that lines the sinus floor. This sinus is a large hollow space in the upper jaw, usually lying just above the roots of the back teeth. There is a connection between the sinus and the respiratory (breathing) system. This is usually why many people have sinus trouble when they “catch a cold”. A perforation or opening resulting from a tooth extraction results in a direct communication between you mouth and your sinus through the socket from which your tooth was removed. A blood clot should form in this area to close that opening. A perforation or opening resulting from a sinus graft procedure has been covered by a dissolvable barrier. We have taken certain measures to allow this perforation to heal. It will usually heal with no problems as long as the sinus doesn’t have a previous infection or inflammation. However, there are some precautions you must take so as not to disturb the healing process.
If you have any questions or concerns, please do not hesitate to call us. Office: 970-385-6800 Cell: 970-739-8291 The upper posterior teeth are located just below the maxillary sinus. The sinus is a large hollow space in your cheek bone on either side of your nose which helps to humidify and warm the air that you breathe in. As we age, the sinuses enlarge, especially when upper posterior teeth are missing or have been extracted. The sinus bone above the teeth is thin and if your roots are long or close to this bone, an opening in the sinus may occur during a dental extraction. If dental implants are desired in the posterior upper jaw but the jaw bone itself is “too thin” vertically, your surgeon may have recommended a “sinus bone graft” (a sinus augmentation). The bone is added between your jaw bone and the maxillary sinus membrane (which lines the inside of the bony sinus). To make room for the bone, the sinus membrane has to be moved upward, or "lifted" and then bone is grafted. It is sometimes possible to perforate into the actual sinus with either an extraction or a sinus-lift bone graft. This small opening theoretically can allow bacteria from your mouth to enter your sinus and create a sinus infection. We will close any sinus openings with stitches or other materials at the time of your surgery. The following instructions are intended to aid in sinus healing by preventing infection and to allow the sinus membrane communication or opening to seal up. Please follow them for 2 weeks in addition to your other post-operative instructions: In June, my dentist extracted two teeth, and I’m waiting to get dental implants. For one upper right tooth, my dentist said he could see into my sinuses. He prescribed antibiotics for me to take for a week. I didn’t have any special instructions other than taking antibiotics. My other tooth healed fine, but the sinus perforations still isn’t closed. My primary care doctor prescribed more antibiotics. I have a continual headache and a low-grade fever. How long does it take for a sinus perforation to heal? It’s going to be months before I can get dental implants. I think I need a second opinion. Am I going to need an oral surgeon or an ENT doctor to close the perforation? Thanks. Clay Clay, It seems that your dentist doesn’t how to handle a perforation that doesn’t heal. It’s wise to get a second opinion. How Long Will Does It Take for a Sinus Perforation to Heal?If your sinus is perforated from tooth extraction, the tissue normally heals within four to six weeks. Bone grafting is often needed, though, and it will heal in about six months. If a perforation from an extraction doesn’t heal, there are several possible causes. Two possibilities include:
Has your dentist or primary doctor sent you or an x-ray of your sinus? It’s best to visit an otolaryngologist (ear, nose, throat (ENT) specialist) who will request an x-ray, see I something if blocking the sinus, remove it, and ensure the infection goes way by prescribing more antibiotics. If there is a bone fragment in your sinus, it’s good that your dentist didn’t close the perforation. The irritation from the fragment would cause ongoing infection and fluid drainage into your mouth and nose. Closing a Sinus Perforation After sinus perforation and bone grafting heal, you can receive dental implants How is a sinus perforation closed? Although your doctor might have a specific technique, the procedure includes steps like these.
After closing the perforation, a specialist will prescribe antibiotics, and based on the severity of your infection, tell you how long to take them. You’ll have follow-up appointments to ensure the area heals well. Tell your ENT doctor about your plans for dental implants to replace your two missing teeth. The doctor and your implant dentist can discuss the optimal time for implant placement. Both the perforation and bone graft must heal before you receive dental implants. Otherwise, the implant and your jawbone won’t fuse, and the implants will fail. Be patient.
Steven Brooksher, DDS, a Baton Rouge dentist and Fellow of the International Congress of Oral Implantologists, sponsors this post. How do you know if you have a perforated sinus after tooth extraction?One way to know is if you close your mouth and try to blow through your mouth, puffing out your cheeks. If you can do that and hold the air in your mouth, there is no perforation. If there's a perforation, air will bubble up through your nose.
How long does it take for a perforated sinus to heal?How Long Will Does It Take for a Sinus Perforation to Heal? If your sinus is perforated from tooth extraction, the tissue normally heals within four to six weeks. Bone grafting is often needed, though, and it will heal in about six months.
How do they fix perforated sinuses after tooth extraction?A sinus perforation following a tooth extraction is managed using a three-layer approach. The first layer involves careful placement of collagen plugs or resorbable membranes at the junction of the root and the sinus opening. It is important to place this material carefully, so it does not get displaced into the sinus.
What happens if a dentist punctures your sinus cavity?Accidental puncturing of the sinus lining – This is usually only a problem if your dentist has been careless. If your sinus lining was accidentally punctured during the procedure, this can cause headaches and facial tenderness, along with pressure and sinus pain that does not go away after your root canal.
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Hole in sinus after tooth extraction symptoms
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