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After-care

Sinus precautions after tooth extraction

If your dentist is concerned that removing an upper tooth may have affected the floor of your sinus, they will ask you to take these extra precautions. If you weren't asked to, you can skip this page.
Why am I on sinus precautions?
The roots of the upper back teeth sit very close to the sinuses. Sometimes removing one leaves a small opening between the mouth and the sinus, or leaves the bone between them so thin that an opening could form while it heals.
What do I need to avoid?
For two weeks, avoid blowing your nose, blowing out through your mouth, pushing or lifting heavy objects, bending over, and suction (smoking or drinking through a straw). All of these raise the pressure in your sinuses and can create or enlarge an opening.
What if it does not heal?
The vast majority heal on their own. In rare cases, additional surgery is needed, most often because these precautions weren't followed.
Do I need a prescription?
Your doctor may prescribe antibiotics. If so, take them as directed and finish the full course. Your doctor may also recommend an over-the-counter decongestant such as Sudafed or Dimetapp; take it as recommended.
What are signs of a worsening condition?
If, after 48 hours, you notice liquid coming into your nose when you drink, or you have nosebleeds, call us so we can check the area.