Having nasal discharge and pain after tooth extraction and dental implant placement. (Photo)

Question

72 hrs post #4 tooth extraction & implant, experiencing pain, pressure, slight dizziness & developed streaming nasal discharge on side of surgery. Discharge is very liquid, red/yellow tint (pic). I have now been prescribed methylprednisolone, Augmentin (875-125mg; 2x per day for 7 days) and Claritan. After developing MRSA orbital cellulitis after sinus surgery a few years back, I am very concerned about what is occurring, as I had no such complication w/ prior implant. Should I be concerned?

Dan Holtzclaw, DDS, MS · Answer

48-72 hours after surgery are usually the worst days in terms of inflammation, pain, and swelling.  With a tooth #4, that area typically is not too involved with the sinus and if it is, it is usually just the tip of the implant in most cases.  Of course, we don't have an xray of your case so I am just giving info on what we generally see.  Did the dentist perform a "closed" osteotome sinus lift with your implant (did the Doc tap on a mallet when putting in your implant)?  If so, this has been known to cause some post-surgical vertigo.  As for the meds you are taking, they are pretty good meds for any surgery involving the sinus.  May add some Afrin into the mix.  I would certainly call your Doc and let him/her know what is going on.  They will likely keep you on those same meds for their course.  They are good meds.

Nirav Patel, MDS, PhD · Answer

its my advice to upload post op xray , so i can guide u better. there r chances of sinus membrane tear. Do not blow your nose for next 4 weeks. Do not sneeze holding your nose. Sneeze with your mouth open. Avoid dusty environments. Diving in water and flying in aircraft should be avoided. Avoid lifting objects by bending, blowing up balloons or playing musical instruments that increases nasal or oral pressure.

Having nasal discharge and pain after tooth extraction and dental implant placement. (Photo)

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Everything you need to know about Dental Implants

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Having nasal discharge and pain after tooth extraction and dental implant placement. (Photo)

Answers (2)

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Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.