A 26-year-old female asked:
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sinus cavity has been exposed from tooth extraction. high fever for 5 days, sore throat.

4 doctor answers
Dr. Oscar Novick
58 years experience Pediatrics
High fever: With an exposed sinus cavity and a high fever, i would pay an immediate visit to the er for an evaluation and further treatment.
Answered on Jul 8, 2014
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Dr. John Scuba
Dr. John Scuba commented
25 years experience Oral and Maxillofacial Surgery
Rather than the ER, you need to go back to the dentist who removed the tooth. If there is the slightest hesitation about proper treatment, then you need to be referred to an oral and maxillofacial surgeon. While the ER may prescribe antibiotics and pain pills, this will do nothing to moving this problem toward its likely outcome--a surgical procedure to close the hole.
Jul 8, 2014
Dr. Benjamin Vela
15 years experience Dentistry
See the dentist/OMS.: An infection appears to be present and go back to the doc who took it out. If unavailable, find an oral maxillofacial surgeon. Sometimes an additional surgical procedure is required.
Answered on Jan 1, 2015
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Dr. John Scuba
Dr. John Scuba commented
25 years experience Oral and Maxillofacial Surgery
Yes, there is an infection and it likely involves the sinus and not just an "infected extraction site". This is a problem which can be difficult to "cure" with simple antibiotic therapy and observation. While some oroantral openings may close spontaneously, many go undiagnosed as to size and proper (ie surgical) treatment. See an oral surgeon.
Jul 8, 2014
Dr. John Scuba
25 years experience Oral and Maxillofacial Surgery
Tooth extraction: It is difficult to diagnose the actual problem. it may be due to an upper respiratory viral infection, an infection of the tooth extraction site, or a sinus infection, or all of the above at once. The question is how does the doc know that the sinus was exposed? By xray, by "feeling" for the sockets with a probe, or just "guessing". The proper treatment requires a bit more diagnostic info.
Answered on Jul 8, 2014
Dr. Paul Grin
Dr. Paul Grin answered
36 years experience Pain Management
See oral surgeon: Sinus communication is not uncommon complication when extracting upper molars. You should see an oral surgeon. The goal is to surgically obtain primary closure and eliminate infection. Good luck.
Answered on May 31, 2017

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