With sinusitis, pus does not come out, what to do?

Description

The maxillary sinuses are a specific structure of the respiratory system.
Their alternative name is the maxillary cavity. Structurally, it is divided into left and right. This air cavity has a mucous membrane rich in choroid plexuses, mucous glands, and nerve endings. Not everyone knows where the maxillary sinuses are located. Their functions are protective and respiratory. If a dangerous pathogen or pathogenic microbe penetrates them, an inflammatory process begins, which requires surgical treatment with antibiotics.

Maxillary sinus, thickening

Thickening of the maxillary sinuses can occur for various reasons. To date, they have not been precisely established. Doctors suggest that the maxillary sinuses may increase in thickness due to previous infectious and colds, allergies, hypothermia and many other factors.

Doctors prescribe treatment taking into account antiallergic drugs, such as Cetrin, and vascular strengthening drugs, Ascorutin. To remove purulent fluid from the nasal cavity, rinsing is done. The nose must be buried. You can use drops: “Vibrocil”, “Nasonex”, “Aldecin” and others. Inhalation and warming bring relief in cases where pus drains from the sinus.

Why rinse your nose when you have a runny nose?

Usually the main source of inflammation is a virus that has entered the nasal cavity. Due to rhinitis, the nasal mucosa becomes inflamed, swells, and edema begins. Usually a runny nose is combined with inflammation of the nasopharynx and pharynx, that is, nasal congestion is complemented by a sore throat, but inflammation can spread below the level of the pharynx - into the larynx, which will lead to laryngitis.

In addition, the swelling can spread to the mouth of the auditory tube, the middle ear loses its ability to cleanse itself, which will lead to the development of otitis media.

To prevent this path of the virus from the nose to the larynx and middle ear, it is worth rinsing your nose at the first symptoms of a runny nose, which will help remove plaque, excess mucus and pus.

Also, rinsing the nose during illness helps medications - sprays, drops and ointments - work better. If the nasal mucosa is not cleaned, but is covered with mucus or pus, then the drug will fall on the secretions and come out of the nose with them, without bringing the expected relief or therapeutic effect.

Tooth root and maxillary sinus.

Each person has individual characteristics of the structure of the jaw and skull bones. Sometimes structural features cause a lot of inconvenience to a person and contribute to the development of various diseases. Doctors have been treating hypothetical diseases unsuccessfully for a long time, without even suspecting that the cause is not pathological, but structure.

Dentists also often encounter such problems, as do ENT doctors. You don’t even suspect how such a terrible disease as sinusitis and teeth are connected. The upper jaw is designed in such a way that the roots of the teeth in some places are separated from the lower paranasal sinus by literally a partition a millimeter thick or even less.

We suggest you read What to do if your gums hurt How to help yourself at home

Some teeth, especially in the depths of the dentition, may have very long roots that these roots can penetrate into the maxillary sinus. The root of the tooth and the maxillary sinus are in a dangerous neighborhood, especially if dental problems often arise. If the root begins to become inflamed, or periodontal disease occurs, then the infection can enter the maxillary sinus and provoke sinusitis.

If such a tooth is removed, a hole in the maxillary sinus will remain and infection can penetrate through it. The way out in such a situation is to eliminate the hole itself and carry out antiseptic measures. In some cases, dentists close the perforated hole and rinse the sinus before doing so. but it is still necessary to notice the problem in time, and this is not always possible. More often, exacerbations of nasal diseases are observed after tooth extraction, and sometimes real sinusitis begins abruptly and for no apparent reason.

Chronic periodontitis can lead to thinning or complete resorption of the bone septum separating the root from the sinus. The reverse process is also possible. Sinusitis can provoke inflammation of the bone tissue, and pus can get into the tooth socket. A characteristic sign of this phenomenon can be the outflow of air from the tooth socket when exhaling through the nose.

In this case, a characteristic whistle may be heard. The sound intensifies if you hold your nose and try to exhale air in the same way. The first sign of perforation of the wall of the maxillary sinus during tooth extraction is the flow of blood from the hole in which air bubbles are present. Let's consider two scenarios for the development of events.

If perforation is just discovered and no inflammatory processes are observed in the sinus, you can try to close the hole by suturing the hole and closing it with a turundula. But until the connective tissue grows in this place, the implant cannot be placed. It is possible to close the hole with a bone plate or composite materials.

But these methods are usually used for large holes. You can build up the bone using a titanium mesh, or you can install a bone block. There are various methods, not all of them are available in clinics, some are quite expensive due to the high precision of the work. If no complications are observed and there is no inflammation, then after three months the base for the implant can be installed. If there is inflammation in the sinus or in the tissues of the jaw, then it must first be treated, and only then the hole must be closed.

goldstarinfo /2020/02/04/zuby-koren-gajmorova-pazuxa/» goldstarinfo

Oral diseases.

How and why can a tooth end up in the maxillary sinus?

Inflammation of the mucous membrane of the maxillary sinuses is caused by various reasons.
The disease is most often caused by dental problems. This is why you may be referred to an ENT specialist and a dentist at the same time regarding sinusitis. Odontogenic sinusitis is diagnosed when the cause of inflammation of the maxillary sinus is a diseased tooth. If the 4-8 tooth in the upper jaw becomes inflamed, then sinusitis is not far away. Inflammation of the roots easily spreads to the maxillary sinus.

Odontogenic sinusitis is difficult to treat. You can ideally wash the sinus and extinguish the inflammation, but since the real cause is not in the sinus itself, but in the oral cavity, an outbreak of odontogenic sinusitis will definitely return. That is why the ENT doctor must properly treat the maxillary sinus and then refer it to the dentist.

If it is possible to save the tooth, then it is treated, carious areas are removed, filled, depulped, if necessary, and preserved. If he is completely bad, then you need to say goodbye to him.

A striking sign of odontogenic sinusitis is an extremely unpleasant putrid odor. If you smell a smell from the nasal cavity or, during puncture of the maxillary sinus, the doctor notes a sharp, unpleasant stench, then the diagnosis is unambiguous.

Because of wisdom teeth

The roots of wisdom teeth are located almost in the cavity of the maxillary sinus and this is very bad. If you have had a CT scan or a regular x-ray of the paranasal sinuses, the image will show how the roots go directly into the maxillary sinus. Periodically, wisdom teeth will provoke odontogenic sinusitis.

For most people, they deteriorate immediately after being cut. Some patients experience inflammation of the gums above the wisdom tooth as it erupts. If the gum cap is too thick, it cannot break through, so the gum has to be cut. In this case, it often turns out that the enamel under this cap is already affected by the carious process.

If you feel that you often experience symptoms of sinusitis, you need to contact your dentist and treat your wisdom teeth in the most thorough manner. Many people prefer to remove them immediately so as not to cause problems.

You will find all the information about the treatment of sinusitis without pus with swelling of the nasal sinuses in this article.

The roots of the teeth grow into the maxillary sinus, causing a chronic inflammatory process. In this case, the patient is indicated for an operation to remove the foreign body from the sinus cavity - microsinusrotomy. The operation is performed under local or general anesthesia. The doctor makes an incision above the gum in the area of the 4th upper tooth, opens the maxillary sinus and cleans or removes the root. Then the symptoms of sinusitis subside and the tooth can be saved.

Tooth root cyst

Often patients receive a diagnosis such as a maxillary sinus cyst. This is a small formation that is located on the roots of the upper teeth. People who live with this pathology are always in doubt whether to remove this cyst or not? If the cyst is in the sinus and tends to grow, then it is better not to postpone the operation. If the cyst does not increase every year, its size is small, then surgical intervention can be postponed.

A root cyst is like a time bomb. It can fester, especially in the hot season, or become inflamed due to injury or hypothermia. Suppuration occurs very quickly, the cyst causes sinusitis and severe pain. And during an airplane flight, a festering cyst may even burst. This can also happen on a high-speed train or with a jaw injury.

If the cyst ruptures, pus will pour out and the patient will suffer severe suppuration of the sinus itself. And simply prolonged contact of the cyst with the sinus will lead to chronic cystic sinusitis. Therefore, if there is a cyst, its size is more than half the size of the sinus, there is pain and cases of inflammation of the sinuses, it is better to remove the formation.

After tooth extraction

It happens that as a result of a medical error after tooth extraction, a patient develops an orantral fistula. This is the hole that connects the socket to the maxillary cavity. This happens when the root was inside the sinus, and the doctor looked at this moment on an x-ray. To prevent this from happening, the doctor must carefully examine the image.

How to recognize sinusitis in a photograph is described here.

If inflammation at the root of the tooth has led to bone atrophy and perforation of the bottom of the maxillary sinus, the doctor removes it and curettages the hole. This is followed by treatment with an antiseptic and drying the hole with a gauze swab. An osteoplastic material is applied to promote disinfection and healing of the socket. The gums are then carefully sutured to prevent bacteria from entering the wound.

From 1 to 3 weeks, the material swells and releases the antibiotic. After 3-9 months, new bone tissue will form at this site, which will close the fistula.

Sometimes patients complain that after puncture and rinsing of the sinus, the upper teeth hurt greatly. This is a normal situation; the roots of the teeth react to the antiseptic that is poured into the cavity for disinfection. Also, after the puncture, severe swelling forms, pressing on the trigeminal nerve.

Toothache may not be related to the piercing. It is necessary to check whether the sick zuyu is the cause of the sinusitis that has just been treated. In fact, it is the problem with carious teeth that becomes the primary source of problems with purulent sinusitis.

If a person visited the dentist, installed an implant and got sinusitis, it is not the dentist’s fault. The teeth in the upper jaw can grow with their roots into the maxillary sinus. Some roots are quite large, but the bone membrane is very thin and fragile.

During installation of the implant, the membrane may be damaged. The tip of the dental implant enters the maxillary cavity, causing inflammation. The problem is solved through a simple operation. Using a special instrument, the doctor cleans out polyps formed due to a foreign body, removes the implant from the sinus, and disinfects it.

It is unpleasant that the patient loses his implant. However, after completing the rehabilitation period, it can be returned to its place with one caveat. If the membrane is very thin, then it needs to be expanded before installing the implant.

Because of wisdom teeth

The roots of wisdom teeth are located almost in the cavity of the maxillary sinus and this is very bad. If you have had a CT scan or a regular x-ray of the paranasal sinuses, the image will show how the roots go directly into the maxillary sinus. Periodically, wisdom teeth will provoke odontogenic sinusitis.

You will find all the information about the treatment of sinusitis without pus with swelling of the nasal sinuses in this article.

Nasal rinsing technology at home

Most ENT offices have special devices that help rinse the nose.
However, you should resort to this method either as prescribed by a doctor, or if home rinsing, which is not so difficult, is not suitable for you. For home rinsing, you will need a syringe or a regular syringe without a needle, into which you need to draw a pre-prepared solution. Bend over the sink, turn your head to the side so that the solution entering the nostril, bending around the nasal septum, flows out through the other nostril. Breathe through your mouth. Insert the tip of the syringe or syringe into the nostril and apply pressure, but do not force the solution into the nose.

If the airway is not obstructed, the solution will pass through the nasopharynx and flow out through the second nostril. Don't be alarmed if some of the solution leaks out of your mouth. Do the same with the second nostril and blow your nose after the procedure. The main thing is to learn to relax while washing.

If you need to rinse your child’s nose, the rinsing technique is exactly the same, the only thing is, ask the baby to hold his breath while inhaling. The main thing is that he is not afraid of this procedure, so first show the process with your own example.

If an infant needs to rinse the nose, then lay him on his back and drip 2-3 drops of saline solution into the nostril, then use a cotton swab soaked in oil to very carefully clean it, twisting the cotton no more than 2 cm. Then do the same. Do the same with the other nostril.

The procedure is carried out using different devices. The most common methods include:

syringe;
kettle;
syringe;
bottle;
medical devices.

Regardless of the chosen manipulation technique, their main task remains to resolve the following issues:

removal of pathogenic microorganisms;
relief of the inflammatory reaction;
relieving unpleasant symptoms (swelling, mucus, nasal congestion, crusts on mucous membranes);
liquefaction of the liquid substance with its further evacuation.

More details about swelling of the nasal mucosa are described in this material.

All methods have their own distinctive features. The main thing that unites them is the need to correctly follow the nasal rinsing technology. The lavage technique is as follows:

take the device with liquid;
lean forward 90° over the sink;
inhale and hold your breath;
apply the device to the nostril;
lift the container with a smooth movement so that the liquid can flow out of it;
turn your head so that the solution can flow out of the opposite nostril;
when the healing composition stops coming out of the nasal passage, remove the device;
repeat the same action on the other side of the nose;
After completing the manipulation, blow your nose to remove any remaining liquid.

What is the connection between teeth and sinusitis? causes of inflammation

Sinusitis due to a tooth can occur with:

caries of the upper molars (molars), which occurs due to improper oral care;
removal of the upper row of molars, since during the manipulation, root particles can penetrate into the sinus or a fistula (canal) is formed between it and the tooth socket, through which the infection can penetrate from the oral cavity to the nose, so sinusitis after tooth extraction is not uncommon;
periodontitis;
osteomyelitis;
proliferation of cysts of the upper jaw.

We invite you to familiarize yourself with what chlorhexidine bigluconate is and instructions for use

What medical errors lead to perforation?

The presence of the problems described above does not guarantee that the tooth will independently enter the maxillary sinus. This usually occurs when there is a perforation - a break in the thin wall between the mouth and the nasal sinus. In the vast majority of cases, this occurs during dental procedures.

And if monitoring the condition of teeth and preventing osteoporosis is the responsibility of the patient, then mechanical perforation is always the responsibility of the doctor. Of course, it is much more difficult for the latter to work if at least one of the factors described above is present.

That is why good health (including teeth) is the result of cooperation between the doctor and the patient.

Patients often complain that the pain from sinusitis radiates to the teeth. A detailed examination reveals a radically opposite picture.

Perforation of the bottom of the maxillary sinus is detected, which causes pain. The fact is that periodontitis may not make itself felt for a long time, but sinusitis debuts quickly.

Therefore, it seems that the problem is in the nose, and not in the mouth.

Perforation in most cases appears as a result of a medical error made during the treatment or extraction of teeth.

When does perforation of the maxillary sinus floor occur?

In ordinary life, perforation is impossible; it always becomes a complication of any dental manipulations with the upper teeth. Perforations occur during root removal, during installation of implants, and during the treatment of pulpitis. At the same time, a gross violation of treatment tactics by the doctor, as well as the special structure of the skull and the anatomy of the teeth can become a source of trouble for a person.

For example, the risk for the patient increases many times if preliminary radiography reveals too small a distance between the apex of the tooth root and the bottom of the maxillary sinus.

There is also danger if the doctor tries too hard to expand the root canals or fills them with excessive compaction. The filling material, transforming, is able to go beyond the apex of the tubule; subsequently, the sinus is perforated in almost one hundred percent of registered cases.

A breakthrough can also occur when installing a pin or inserting an implant. In the latter cases, it is always the dentist's mistake. Such an accident significantly complicates further procedures when performing prosthetics. The jaw bones of patients who have lost their teeth long ago and applied late for implantation are extremely vulnerable. If a tooth is removed, the processes of tissue degeneration accelerate. The doctor must take this feature into account when determining the size of the pin and performing pre-implantation preparation.

Perforation also occurs during root resection if the dentist did not bother to carefully study the patient’s examination data in advance and does not know the size of the bone plate that separates the maxillary sinus and the inflamed cyst on the tooth. Inaccurate movement and perforation occurs. It can also be caused by surgery to remove a significant amount of jaw bone.

Treatment and prevention

The dentist and otolaryngologist should treat odontogenic sinusitis together. Let's repeat. that without eliminating the cause - the source of chronic infection in the oral cavity - it is unlikely that the disease will be completely cured.

That is why they first deal with the required tooth - treat it or remove it, and then begin treatment for sinusitis, which includes the mandatory prescription of antibiotics and rinsing the sinuses with antiseptic solutions. In order to alleviate the patient's condition, vasoconstrictor nasal drops, antipyretic and painkillers are used.

Odontogenic sinusitis is a disease that is much easier to prevent than to treat. Therefore, let's not forget about prevention - maintain oral hygiene and regularly visit the dentist. Be healthy!

Related products: toothbrush, toothpaste, dental floss

Treatment of chronic disease

Chronic odontogenic sinusitis is treated with standard methods; surgery is advisable in rare cases.

When the tooth that caused the inflammation has been removed, a puncture of the maxillary sinus is performed. There is a drainage tube in the sinus for up to 2 weeks. Through it, the doctor introduces a solution of antibiotics and antiseptics, and enzymes.

If traditional treatment is ineffective, surgery is resorted to. Its essence lies in excision of the affected tissue from the maxillary cavity, expansion of the anastomosis.

After some time (from 5 to 6 days), it is necessary to begin rinsing with saline solution.

Complications

Rupture of the maxillary sinus is a serious consequence of dental procedures, the treatment of which most often occurs in an inpatient setting. What is the risk if the tooth root has grown into the maxillary sinus?

Self-treatment of the problem using traditional medicine methods can lead to even more serious complications, including:

Severe inflammatory process in the sinus cavity with further infection of adjacent tissues. Then osteomyelitis develops in the upper jaw.
Transition of the inflammatory process to other cranial sinuses, including the sphenoid, frontal and ethmoid.
Loss of healthy teeth located in the perforation area.
Formation of foci of pus, phlegmon and abscesses.

Due to the immediate proximity of the brain, and the fact that the tooth root has gone into the maxillary sinus and the latter has ruptured, the occurrence of an infectious lesion of the meninges cannot be ruled out. The next stage of serious complications may be meningitis or meningoencephalitis, which are life-threatening for the patient.

How is sinusitis treated?

Today, drug therapy is mainly used to treat such diseases. The widespread use of antibiotics of various types and strengths has made it possible to treat many diseases with much simpler methods.

What can be done in the hospital?

In some cases, various physical procedures may be indicated.

The following methods of physiotherapeutic treatment are considered the most common:

electrophoresis with drugs;
short-wave ultraviolet irradiation (SWUV);
inhalation of medicinal substances;
magnetic therapy;
laser treatment;
darsonvalization, etc.

Physiotherapeutic methods have recently faded into the background, because... Timely detection of sinusitis and early initiation of therapy contribute to rapid recovery.

Also, in advanced conditions, minor surgical intervention is often used - puncture of the sinuses. This procedure allows you to remove pus and fluid pressing on the tissues of the nasopharynx and treat the mucous membrane with a special solution that reduces inflammation. This is an unpleasant procedure, but there is nothing scary or dangerous about it.

Treatment with medications

Most often, doctors prescribe antibiotics to patients. In addition to such drugs, antihistamines are often used to alleviate the symptoms of the disease. In some cases, the use of vasoconstrictor drops in the nose and rinsing of the maxillary sinus may be justified. Mucolytics are also sometimes used to facilitate the removal of pus from the nasal cavity.

Treatment for sinusitis is usually quite simple. It is necessary to take the medications prescribed by your doctor and adhere to the regimen. However, you should not perceive sinusitis as an absolutely harmless disease. Therapy for inflammation of the maxillary sinuses should be carried out only as prescribed by a doctor and after confirmation of the diagnosis.

Uncontrolled use of antibiotics may not only not help in treatment, but also result in other health problems. After all, it is known how taking certain medications negatively affects the condition of a person’s internal organs, primarily the liver.

Traditional medicine for the treatment of sinusitis

Traditional medicine methods are also quite effective. However, in no case should they replace the main treatment. Such drugs can only be used as an adjunct to drug therapy and with the approval of the attending physician. In the case of uncontrolled self-medication of a disease such as sinusitis, a whole host of complications may arise: from the disease becoming chronic to cerebral edema, followed by death.

Perforation during removal of the apex or root of a tooth completely

From the point of view of perforation, tooth-saving operations can also pose a danger, for example, removing the root of a tooth with a cyst on it that has grown into the maxillary sinus.

Such operations are relatively safe for teeth 4-5, while for teeth 6-7 they are no longer advisable. The risk of perforation is too great. It is worth clarifying that we are talking about cases with a pathologically thin bone septum between the nasal sinus and the oral cavity.

We invite you to read Help for pensioners with dental prosthetics

If the bone thickness is within normal limits, then apectomy is performed for any tooth.

Perforation of the maxillary sinus during tooth extraction

Removing a tooth if its root is located in the maxillary sinus or is separated from it by a thin layer of bone is always difficult. Especially when it comes to 2-3 molars with massive and intertwined roots. Since the dental surgeon applies physical force during the operation, there is a high probability of damaging the already thin layer of bone.

In this case, it is recommended to take a photo at the end of the procedure. Treatment of perforation of the maxillary sinus immediately after tooth extraction is simple. The doctor will be able to quickly restore the tightness of the sinus, avoiding complications. To exclude the possibility of a fistula forming in the nasal sinus after some more time, it is recommended to take a repeat photo after a month.

Sinusitis. Help

Answers:

Kajakas

I was cured of sinusitis using paraffin masks. I took 2 paraffin candles and melted them in a mug in a water bath until liquid. She removed the wick, took a brush and, dipping it in paraffin, carefully, layer by layer, began to apply it to the area of the maxillary and frontal sinuses. She applied a thick layer and quickly covered her face, first with a thin film, then with a blanket, leaving only an opening for breathing. I did the procedure at night. After 10 procedures, there was no trace of sinusitis left. You can alleviate the condition of sinusitis with the help of red beets. Squeeze 30 g of beet juice, add 1 tsp. honey, 3 tsp. water and bury this mixture in your nose. Horse sorrel will also help cope with this disease. 1 dec. l. Pour boiling water over the crushed roots of the plant and leave for 2 hours. Rinse your nose with warm infusion. To alleviate the disease, it is good to use turunda with sea buckthorn oil. They are inserted into the nose at night, alternately into each nostril. And this recipe will help get rid of sinusitis. In a glass of warm water you need to dissolve 1 tbsp. l. (incomplete) salt, 20 drops of iodine and rinse your nose with this mixture - close one nostril and draw in the other, and vice versa. After just a few procedures you will feel relief, and after a week you will get rid of sinusitis. https://www.babushka.ua/receipts/list/?cat=7&sub=54 recipes from this site, try it, maybe it will help

Alyona

I was so happy too. I warmed it up. Pour salt into a frying pan, stirring and heating it, then into a towel and onto the sore spot. Try. Get well!

valery

blow your nose! as often as possible! (my mother has an ENT) with sinusitis, pus accumulates in the maxillary sinuses, if you blow your nose it comes out (and green snot). The more you blow your nose, the more pus goes away and there is no suffering. and if you blink, the pus stagnates and inflammation occurs, then they puncture it, in general it’s terrible! blow your nose and that's it!

Alexey Rostovsky

I sincerely advise you to consult a homeopathic doctor or read it yourself at https://www.familyklub.ru I treated my allergies for six months with the help of ordinary doctors, and the homeopathic remedy stopped the rash and itching within 36 hours.

cat Bayun's girlfriend

Sapar, I am in no way sending you to a doctor, I just humbly want to note the fact that in an ordinary hospital, an ordinary ENT specialist will perform a sinus puncture procedure for free and then prescribe treatment. This is just a very serious problem. Perhaps your situation is simply different.

Natalia Askerova

You not only have sinusitis (although I highly doubt it), you have inflammation of the trigeminal nerve, symptoms indicate this... I have almost the same “parsley”….And the trigeminal nerve can be cured only when you cure all the inflammations in your body…. A blue lamp helps sinusitis... Warming up. And one more thing: now cold is generally contraindicated for you... I know from myself... Good luck... And may God help you!

Radio operator Ket

There is such a plant called fillet. Basically you can buy it from grandmothers at the bazaars, it costs a penny. Sold already dried. You take a leaf and steam it well (throw it into boiling water for 30-40 seconds) and roll it into a tube and stick it into your nostril. You walk with him for about half an hour. The procedure is absolutely painless, but effective. Do this at least 3-4 times a day. After 3 days (under normal circumstances), brown pus will fall out along with the snot. I give advice based on personal experience.

EvaKraychek

NOSI SHAPKU. MNE POMOGLO))

Perforation during implantation

A perforation of a sinus near a tooth during prosthetics is always a very serious complication that can cast doubt on the success of the entire operation. To prevent this, additional bone augmentation using various methods is performed before implantation.

Before implanting the implant, the doctor must take a panoramic photo. If the roots of a wisdom tooth or other molars and premolars are located in the maxillary sinus or in close proximity to it, then a sinus lift is prescribed, during which the bottom of the sinus is raised and strengthened.

If perforation does occur, then implantation is postponed until complete healing.

Do they always get a puncture for sinusitis?

Answers:

mich

Not always. First, you need to undergo a course of outpatient treatment prescribed by your doctor. As a rule, it is enough.

Fox Mulder.

If you can't get enough of it with medications!

Alexander Andreevich

Yes

RED COMMANDER

Not always, a good doctor will try to do without this.

Maria Olegova

I was told that no one has been doing punctures for 100 years. But injections three times a day and hospital stays are welcome! As a last resort, of course.

Alexander

No!

Kazimir Malevich

I took a course of injections into the mucous membrane.

Yole Alfa

if the doctor is an inquisitor, then yes. you need to do cuckoo + antibiotics + physiotherapy. and if the doctor recommends piercing, offer him to pierce himself with something.

Nikolay Prokoshev

Very cool. If there is a purulent process in the maxillary sinuses, antibiotic treatment is useless. follow what I tell you to heal, then heating is simply a necessity. 1. Cautions: AFTER THE PROCEDURES, since this is for the winter, do not go out sweaty. In addition, it is necessary to protect the forehead in 2 ways: by pulling a cap over the forehead (also for women and children. If you are in the cold for a long time, be sure to rub your forehead the first time your skin feels cold on your forehead, and constantly, intensively. 2. Do it at night. Preparation for the procedures themselves: THE ROOM IS WARM, a change of linen, foil, 1.5 kg coarse rock salt, cloth pads, maybe a towel in several layers. A frying pan for salt. A canvas or cotton bag for very hot salt. Size 15cm x 15cm 3, garlic 1 clove , vodka 30g, herbs St. John's wort, sage, eucalyptus, aloe, lemon. The procedure itself: 4 ml of vodka and, using a sharp knife, cut thin strips of a 5g clove of garlic into the vodka, so that more essential oils of garlic get into the vodka. (For a child dilute vodka by 1/3 with boiled water) Leave for 1 hour in a closed bottle in a warm place, stirring.Then take all 4 ml of garlic tincture with a syringe, lie down on the sofa, hang it, throw back your head and carefully overcome the pain, inject it into the nostrils one by one equally. We lie for 5 minutes with our head thrown back, squeezing the wings of our nose with our fingers, while simultaneously tugging on it to enhance the penetration of the tincture into the deep sinuses of the nose, behind the frontal part. At the same time, turn your head for the same thing. Tolerate. You get up. Walk for about 5 minutes without opening the wings of your nose, the pain will settle down and a lot of pus will come out. After all, garlic and its essential oils are bactericidal. If you do not fully penetrate the tincture while lying down, the effect will be incomplete. For the sake of your health, it’s worth being patient. If the pus does not come out, DO NOT TAKE ANY FURTHER ACTIONS. Heat the salt until hot, stirring in a frying pan. Pour it into a canvas bag and go to bed, additionally protect your nose by making a pad for it. Place about 5 thick pads on your face. and placing the bag on them so that the relief of the nose is copied and the bag fits snugly to the face. On top there is foil and a pillow. IF YOU DO NOT FEEL HOT, REMOVE THE PADS, IF IT IS UNTObearably HOT ADD. Do it quickly, again covering yourself with a pillow, so that the heat of the salt lasts longer and means the effect. The foil directs the heat towards the forehead, and the pillow retains it as long as possible. If you do not “heat” your forehead tolerantly (without burning it), then the procedure will not be of any use. It could be worse. And drink a decoction of celandine and plantain 4 rubles a day for 2 weeks.

Symptoms of perforation

If perforation of the nasal sinus occurred at the time of tooth extraction, then its symptoms will be quite specific:

The appearance of small air bubbles in the blood released from the tooth socket, the number of which increases with a sharp forced exhalation through the nose.
The appearance of bloody discharge from the nose on the side of the perforated maxillary sinus.
Changes in the timbre of the patient’s voice, the appearance of “nasality”.

Sometimes the patient begins to complain about the passage of air through the hole after tooth extraction, as well as a feeling of heaviness or pressure in the projection of the maxillary sinus.

The photo shows perforation of the bottom of the maxillary sinus after tooth extraction

If perforation of the maxillary sinus occurs during implantation or endodontic treatment, the doctor may suspect it by:

characteristic failure of the instrument or implanted element after applying some force to advance it;
changing the position of the instrument in the wound;
the appearance of small air bubbles in the blood.

If perforation of the maxillary sinus for any reason was not diagnosed and treated immediately, then its cavity becomes infected with the development of acute sinusitis or sinusitis, which is characterized by symptoms such as:

severe acute pain in the maxillary sinus area;
swelling of the nasal mucosa on the corresponding side with difficulty breathing through the nose;
the appearance of purulent nasal discharge.

The appearance of general symptoms of intoxication is also characteristic: headaches, chills, high fever, weakness.

Symptoms of toothache with sinusitis

If the bottom of the maxillary sinus has been pierced as a result of treatment, the dentist should pay attention to the following symptoms:

The appearance of air bubbles in the wound, the number of which increases as you exhale.
Changing the timbre of the voice towards nasality.
Bloody discharge may appear from the nose.
The instrument the dentist was using falls into the perforation.

If we are talking about an old injury, then in this case chronic sinusitis develops due to an infection caused by a foreign body in the sinus. The main symptom of such sinusitis is pain in the sinuses and teeth. In addition, swelling appears, which can greatly interfere with nasal breathing. A purulent bloody secretion is discharged from the nose.

What to do if your teeth hurt and it’s hard to breathe with sinusitis? Contact your dentist as soon as possible. A sore tooth can very quickly lead to chronic sinusitis, a headache and a deterioration in overall health.

With sinusitis, the patient either does not notice anything at all, or feels slight pressure under the eye. Some complain of nasal discharge containing pus and blood.

There are a number of symptoms that you should pay attention to:

the whole side of the skull hurts;
discomfort in the nasal and frontal sinuses;
upper jaw ache;
pain spreads to the area near the nose, under the eye, above the eyebrow, temple;
unilateral headache with sinusitis;
general malaise, temperature.

A special characteristic sign of sinusitis is a feeling of dull, pressing pain when bending the head forward. In this position, the pain is most acutely felt in the paranasal area. Thick purulent discharge is sure to appear.

An ordinary toothache does not produce such symptoms. It is felt only in the area of the diseased tooth. The feeling is more acute, aching.

Therapy for perforation of the maxillary sinus during treatment or tooth extraction

If a hole has formed in the sinus after tooth extraction, the doctor will stop the bleeding if possible by forming a blood clot in the hole. To do this, a tampon soaked in medications is inserted into the wound. The patient is advised to rest completely until the perforation heals.

If, during tooth extraction, the maxillary sinus opened, but the doctor did nothing, then inflammation may develop. In this case, if detected, an operation to restore integrity using special plates or artificial bone material is indicated.