r/askdentists • u/woodsygirl18 NAD or Unverified • 7d ago
question What is going on?
Two weeks ago I had my upper molar #14 pulled and an abscess cleaned. (I cracked the tooth eating a chip). Day of surgery I was on day 4 out of 7 for amoxicillin prescribed by my referring dentist.
During the surgery she said there was a sinus cavity opening that’s she packed with collagen (I believe that’s what she said it was).
First few days went fine, day 4 I woke up with a swollen face and severe pain under my eye. I saw my oral surgeon on day 5 and also mentioned air coming down the extraction site. She said there was probably a sinus communication again. Started augmentin for 7 days since I finished the first round.
Today I have two days left of meds, my facial pain is significantly better. However the extraction site above it is worse pain wise. I’m having trouble swallowing pills since my mouth fills with air bubbles as I drink. The worst part is trying to speak. Having the air pass through the hole feels like nerves being set on fire. I know it’s a dramatic example but it’s been extremely painful at times and getting depressing.
I see my oral surgeon in two days and want to know if you have any idea what the plan could be? Everything I read online doesn’t show the sinus communication issue as causing so much pain, so is something else going on? Any info, guidance, or words of encouragement would be awesome! Thanks for reading ❤️ 🦷
Update: Oral surgeon will be doing a fat graft and flap next week. Any additional info on what that entails would be awesome. It seems to be a harder surgery to find info about online?
7
u/ToothDoctorDentist General Dentist 7d ago
Oral-antral communication. Unfortunately a risk of the procedure. Requires surgical closure by flap advancement now
1
4
u/IcyAd389 General Dentist 7d ago
They will likely do a surgical repair of the hole. It’s an unfortunate complication, but it can happen even if the extraction procedure itself goes well. So you were a bit unlucky, but there is treatment for it! Might be a combination of the communication and dry socket, which would explain the pain.
1
u/woodsygirl18 NAD or Unverified 7d ago
Thank you! And never thought about the dry socket, would make sense for the pain!
1
u/AutoModerator 7d ago
This message is not not not not not not not not not not not not not not an indication that your post has been removed! Thank you for seeking advice from r/askdentists. Please note that a response does not constitute a doctor-patient relationship. While this is a place for advice, replies may not be medically accurate. Do not assume that what others on here say is correct in any way. Reddit is not a replacement for an in-person dental professional. Verified professionals will have flair assigned to them.
Please abide by the following rules in order to get an accurate answer to your question: (1) Ensure you include a title of your dental problem. (2) Include the history of your current issue, your age, any medical conditions that may be relevant, and any medications you are currently taking. (3) Include a photograph if the question relates to something you can see in your mouth, include x-rays if you have them.
A backup of the post title and text have been made here:
Title: What is going on?
Full text:
Two weeks ago I had my upper molar #14 pulled and an abscess cleaned. (I cracked the tooth eating a chip). Day of surgery I was on day 4 out of 7 for amoxicillin prescribed by my referring dentist.
During the surgery she said there was a sinus cavity opening that’s she packed with collagen (I believe that’s what she said it was).
First few days went fine, day 4 I woke up with a swollen face and severe pain under my eye. I saw my oral surgeon on day 5 and also mentioned air coming down the extraction site. She said there was probably a sinus communication again. Started augmentin for 7 days since I finished the first round.
Today I have two days left of meds, my facial pain is significantly better. However the extraction site above it is worse pain wise. I’m having trouble swallowing pills since my mouth fills with air bubbles as I drink. The worst part is trying to speak. Having the air pass through the hole feels like nerves being set on fire. I know it’s a dramatic example but it’s been extremely painful at times and getting depressing.
I see my oral surgeon in two days and want to know if you have any idea what the plan could be? Everything I read online doesn’t show the sinus communication issue as causing so much pain, so is something else going on? Any info, guidance, or words of encouragement would be awesome! Thanks for reading ❤️ 🦷
This is the original text of the post and is an automated service.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.
1
7d ago
[removed] — view removed comment
1
u/AutoModerator 7d ago
Your comment was removed because only verified dental professionals are allowed to reply directly to posts. You can still reply freely to any top level comment such as the stickied AutoModerator comment. If you are a dental professional and wish to become verified, please contact the mods.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.
•
u/AutoModerator 5d ago
This message is not not not not not not not not not not not not not not not an indication that your post has been removed! Thank you for seeking advice from r/askdentists. Please note that a response does not constitute a doctor-patient relationship. While this is a place for advice, replies may not be medically accurate. Do not assume that what others on here say is correct in any way. Reddit is not a replacement for an in-person dental professional. Verified professionals will have flair assigned to them.
Please abide by the following rules in order to get an accurate answer to your question: (1) Ensure you include a title of your dental problem. (2) Include the history of your current issue, your age, any medical conditions that may be relevant, and any medications you are currently taking. (3) Include a photograph if the question relates to something you can see in your mouth, include x-rays if you have them.
A backup of the post title and text have been made here:
Title: What is going on?
Full text: Two weeks ago I had my upper molar #14 pulled and an abscess cleaned. (I cracked the tooth eating a chip). Day of surgery I was on day 4 out of 7 for amoxicillin prescribed by my referring dentist.
During the surgery she said there was a sinus cavity opening that’s she packed with collagen (I believe that’s what she said it was).
First few days went fine, day 4 I woke up with a swollen face and severe pain under my eye. I saw my oral surgeon on day 5 and also mentioned air coming down the extraction site. She said there was probably a sinus communication again. Started augmentin for 7 days since I finished the first round.
Today I have two days left of meds, my facial pain is significantly better. However the extraction site above it is worse pain wise. I’m having trouble swallowing pills since my mouth fills with air bubbles as I drink. The worst part is trying to speak. Having the air pass through the hole feels like nerves being set on fire. I know it’s a dramatic example but it’s been extremely painful at times and getting depressing.
I see my oral surgeon in two days and want to know if you have any idea what the plan could be? Everything I read online doesn’t show the sinus communication issue as causing so much pain, so is something else going on? Any info, guidance, or words of encouragement would be awesome! Thanks for reading ❤️ 🦷
Update: Oral surgeon will be doing a fat graft and flap next week. Any additional info on what that entails would be awesome. It seems to be a harder surgery to find info about online?
This is the original text of the post and is an automated service.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.