My cheek swelling increased after wisdom teeth extraction from a sinus perforation. I called the oral surgeon when a yellow discharge started coming from my nose and sockets. The surgeon prescribed Augmentin, which decreased the welling. After two weeks, one sinus was still infected. The surgeon took a CT scan and said my sinus was clear of any fragments that could cause infection. He prescribed Azithromycin, and I have a few pills left. The sinus hole is still draining, and I feel some pressure in it. I use a prescription rinse and Flonase. Are my symptoms typical, or do I need to see a sinus specialist or make an emergency appointment with my dentist? Thank you. Naaman from Brooklyn
Thank you for your questions.
Dr. Perry would need to examine your tooth or refer you to a specialist for an accurate diagnosis. Still, we will use your description of your symptoms to explain what may be happening.
Does a Sinus Perforation Cause an Infection?
Although a sinus perforation does not usually cause an infection, bacteria from the tooth can push into the sinus as a doctor removes the tooth. Augmentin and Azithromycin are appropriate medications for swelling and infection. If a CT scan does not show any tooth fragments in the sinus that can interfere with healing, your oral surgeon is managing your symptoms well.
Lingering Sinus Infection After Finishing Antibiotics
After finishing the antibiotics, you may need an Azithromycin refill if you have a lingering sinus infection. Continue taking the medication until the infection clears to avoid antibiotic resistance.
Flonase reduces inflammation and sinus pressure over time. Although we do not have all the details about your case or dental records, you should not need to see an ear, nose, and throat specialist or schedule an emergency appointment with your dentist. Call your oral surgeon if the infection lingers because you may need another prescription to continue taking Azithromycin.
We wish you a steady recovery.
Dr. Ryan Perry, a Baton Rouge dentist, sponsors this post.