I had a massive toothache. I decided I needed to see a dentist. I didn’t have a regular dentist so went to what was called an emergency dentist. He said the tooth was too far gone and suggested I have the tooth extracted. I would do anything to get out of pain at that point so agreed. When he was done he said there was a hole in my sinuses from the cavity and put my on general antibiotics. He said it would heal on its own now that the tooth is extracted. But it’s been three months and I’ve had non-stop sinus infections ever since. My doctor has had me on antibiotics, but they never help. The hole is still there. Is it too late to get this repaired?
Before we get into your sinus perforation, I wanted to make sure you know that an emergency dentist is really just a general dentist who will treat non-established patients quickly in the case of a dental emergency. They’re not a specialist of any kind.
It is unlikely the cavity caused the hole in your sinuses. It’s much more likely the dentist perforated your sinuses during the extraction. This isn’t that unusual. However, there is a protocol he should have followed which seems to have been missed. By this point, if the hole was going to heal on its own it would have by now.
The fact that it hasn’t tells me there are likely some bone fragments from the extraction in your sinus cavity that needs to be removed. In your place, I’d see and ENT. Let them know what is going on when you call to schedule and they’ll get you in sooner than normal.
Avoiding Dental Emergencies
You’ve been through some pretty bad trauma with your recent dental visit. As you already weren’t comfortable going to the dentist I feel I can safely assume you’ve had some trauma in the past as well. When that happens it usually causes dental anxiety. This can keep you away from the dentist.
I don’t want that to happen to you. It only leads to more dental emergencies. One thing that can help you with this is going to a dentist who likes working with anxious patients. Many of them offer dental sedation which allows you to relax completely during your appointment. Most patients are so relaxed they prefer to sleep through their procedures.
This blog is brought to you by Huntsville Dentist Dr. Steve Murphree.