Reviewed by Dr. Matthew Epstein
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Reading time: four minutes
Most tooth extractions heal without complications. In some cases, a sinus perforation can occur when a small opening develops between the upper tooth socket and the sinus after an extraction. This is more likely with upper back teeth due to their proximity to the sinus cavity.
Table of Contents
How Common Is Sinus Perforation After Tooth Extraction?
Sinus perforation is an uncommon but known complication of upper tooth extractions. It occurs most often when the roots of the upper molars or premolars sit very close to the sinus floor.
In most cases, small openings heal on their own without intervention. Larger perforations or those that do not close properly may require treatment.
Common Symptoms of Sinus Perforation
Symptoms can appear shortly after the extraction or develop over the following days. They are often related to communication between the mouth and sinus:
- Fluid Leakage: Liquids you drink may pass from your mouth into your nose.
- Air Passage: A whistling sound, bubbling, or noticeable air movement in the socket when breathing or speaking.
- Persistent Nasal Congestion: A blocked or stuffy feeling on the same side as the extraction
- Sinus Pressure or Pain: A dull ache or pressure in the cheek, upper jaw, or under the eye.
- Bad Taste or Odor: A foul taste or smell, which may indicate early infection.
- Bloody Nose: Light nasal bleeding or discharge after surgery.
What To Do If You Notice These Symptoms
If you notice any of these signs, contact your oral surgeon promptly for evaluation.
While waiting to be seen, avoid actions that increase sinus pressure, such as:
- Blowing your nose
- Sneezing forcefully
- Using straws
- Smoking
- Spitting forcefully
These actions can disrupt healing and prevent the opening from closing properly.
Treatment For Sinus Perforation After Tooth Extraction
Small perforations often heal on their own with protective measures and careful aftercare. Your surgeon may recommend sinus precautions, antibiotics, or decongestants to support healing.
Larger or persistent openings may require a minor surgical procedure to close the communication between the mouth and sinus. This is typically done using local tissue to seal the area and promote proper healing which is a routine procedure for a oral and maxillofacial surgeon..
Surgical Precision and Patient-Focused Care
At Green Lake Oral & Facial Surgery and JAWNT Oral Surgery, procedures are planned with a strong focus on precision and prevention. Dr. Matthew Epstein and Dr. Tommy Kim use advanced imaging and surgical planning to evaluate sinus anatomy before removing upper teeth, helping reduce the risk of complications. We also use piezosurgery techniques in high risk areas to eliminate the risk of sinus perforations.
Care is centered on clarity and patient comfort from consultation through recovery. Patients are guided through each step, and follow-up is intentional and consistent. This approach supports both safe outcomes and a more confident recovery experience.
Oral Surgeon in Seattle, WA
If you recently had a tooth extracted at Green Lake Oral & Facial Surgery or JAWNT Oral Surgery and have concerns about your recovery, call our office for evaluation.
To book an appointment at Green Lake Oral & Facial Surgery in Seattle, WA, call (206) 641-7212. To book at JAWNT Oral Surgery in Shoreline, WA, call (206) 848-5788.
FAQ
What does a sinus perforation feel like?
Patients may notice pressure in the cheek or under the eye, along with unusual sensations such as air movement or fluid passing between the mouth and nose.
Is a sinus perforation an emergency?
It is not always an emergency, but it should be evaluated promptly. Early management helps prevent infection and supports proper healing.
How do they repair a hole in the sinus after tooth extraction?
If the opening does not heal on its own, an oral and maxillofacial surgeon may close it using a small tissue flap and platelet rich fibrin. This seals the area and allows the sinus and socket to heal separately.
