Bleeding from Nose after a Dental Implant: What Can Cause This?

Last Updated: Nov 25, 2014

I had a dental implant placed, and have been having nose bleeds from the right side (same side as implant) for several days now. I am wondering if my sinus was pierced – the dentist said the x-ray shows that the implant did not enter the sinus area. He thinks maybe I am getting the bleeding from the water pressure that was used during the surgery. The bleeding is less than it was at first. I am really concerned that I might get an infection, or this won’t heal, and am concerned that chewing food in the future could cause problems. Any thoughts or suggestions? I am seeing the dentist this week for follow-up. Not sure of the tooth number, but it is on the upper, right side, fourth tooth from the back

5 Comments on Bleeding from Nose after a Dental Implant: What Can Cause This?

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Dr. H Ryan Kazemi

11/25/2015

Penetration into sinus can certainly cause bleeding, but this is often transient. Was surgery done by an oral surgeon or General Dentist? If not an oral surgeon, then you might consider getting a consult from one to make sure everything is ok. Dr. Kazemi

CDI

11/25/2015

Even a torn Schneiderian membrane does not mean all is lost. Since you were placed on an appropriate antibiotic before and after surgery the risk of infection is lessened. Be patient, follow your prescription directions and communicate with your implantologist about any changes.

Justin Kuenstle

03/15/2016

I disagree... What about in the future, are you planning on being on antibiotics forever? Screws built to bond to bone are rough, and the maxillary sinus is an avascular area. So eventually it could become quite the bacterial nightmare spot. And even if the surgeon was spectacular (mistake aside) and there is not much wiggle room, now a tiny path from the sinus to the mouth is there--no matter what, for months... I'd get another X-ray, from someone else or ask to see yours, and verify whether your sinus has been breached or not, and if so- by how much. Because a couple mm may grow bone over, and as long as you don't develop something in the meantime, all is well, but 4ish may likely not. It is better to be safe than sorry, as removing it after you develop an infection will lead to retarded healing times.

cwood

12/26/2018

I completely agree with this comment, though I'm not a doctor, if the rough surface implants were used, they assist with osseointegration but can be the perfect place for bacteria to take root, especially in the sinus!

David

10/29/2019

I have a issue along the same lines but the tooth it the right front right under my right nostril within a month or so after the actual implant a lump arose on the side of my nose and was there for quite a while now just lately it has started bleeding and eating the bottom of the lump also bleeding inside of the nostril Does this sound like it is from the tooth. Pressing hard on the gum above the tooth I can taste a not so pleasant taste

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