About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Question I recently had a tooth extraction #5, I have had constant pain since the extraction even before the numbness wore off. I usually tolerate pain well but have had to take a lot of meds. I went back to the Dentist who did the procedure and she said I shouldn't be hurting and every thing was fine. Its not fine I have been hurting for 4 days now. I was a dental assistant and I know this is not normal, what should I do?
Answer Dear Lynn,
It is unclear from your narrative just why you entitled your question "perforated sinus"-- has the presence of a sinus perforation been confirmed?
Although it is relatively uncommon to develop a dry socket from an upper premolar extraction, this would be the most likely explanation for the severity of the pain, and there are recognized strategies for management (sedative socket dressings and/or oral analgesics). There is no legitimate reason I can think of why your dentist would not implement one of these strategies, other than laziness.
If your dentist is unable or unwilling to provide postoperative support, I would advise you to request a referral to an oral surgeon. Not only will a specialist be more qualified to provide assistance, but his assessment of your postoperative healing will be unencumbered by any personal ego involvement in the events that came before, and will therefore be more candid and reliable.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY
