Sinus perforation after Dental Implants: how to treat this?

I have done a molar implant on my left upper side about 2 weeks ago and here is the problem: a day after the surgery I got the flu and 2 days later I started to feel a really foul smell in my sinus above the tooth implant. When I consulted my dentist he told me not worry about it but to keep taking the anti-biotic that I was taking (2 grams of Augmentine) and it should heal soon. The anti-biotic course finished and the smell is the same so I consulted an ENT doctor and he told me that I have sinus infection and I need to take more anti-biotic. My question is this; if the implant has perforated my sinus cavity then and it is causing this infection then what is the solution? how can this be repaired?

4 thoughts on “Sinus perforation after Dental Implants: how to treat this?

  1. Its really of little consequence most of the time, a scar will usually form over it if it’s a very small perforation and will likely be successful. A larger perforation (more than a few mm can cause a problem occasionally and may need a sinus lift or another more predictable way to remove the implant, let heal, then sinus lift and simultaneous implant pavement or just a shorter implant.

    Good luck.

  2. if the implant is indeed the cause of the infection, it should be removed as soon as possible. the site should be irrigated regularly and hopefully the perforation will close on it’s own. you need to remain on an antibiotic until the infection resolves. if augmentin is not working, levaquin is an option.
    after complete healing (4-6 months), you can actually try to have another implant placed.

  3. Was the implant simply placed into the socket when the original tooth was taken out? Was there any grafting? was it a sinus graft? If you have sinusitis associated with a cold/flu then why would taking the implant out help?

    • The implant is not the cause of the infection. Many implants are purposely placed into the sinus cavity. Once the implant is in place, the sinus is closed, and rarely becomes infected. Removing the implant at this time could potentially leave an opening (oral-antra communication) which has a potential for getting infected. Change the antibiotic to something different that fights different strains of bacteria.

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