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About Joel S. Teig, DMD, FABOMS
Expertise
I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience
Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA DMD

You are here: Experts > Health/Fitness > Surgery > Oral Surgery > post surgery nasal odor

Oral Surgery - post surgery nasal odor

Expert: Joel S. Teig, DMD, FABOMS - 11/6/2009

Question
dr.
following a periodontal bone/skin graph to an upper molar in june, healing has been complete. however, since everything closed up in july a persistant noxious odor lingers from the nasal path. two weeks of amoxicillin did nothing. three weeks of saline nasal flushes failed. 10 days of 300mg/30 tablets of clindimycin to none affect. an ent ct scan revealed nothing in the sinuses. everything functioning normally in fact, wonderfully. however, i can't shake the noxious odor from the nasal and i suspect a communication from the previous surgery. ent specialist is of the same opinion but, nothing. my question- is there a solution so i can once again be in closed meetings, sit next to others, etc? how could the surgery be so successful-no lingering infection etc. and yet, the odor? any help? thanks-

Answer
Rich - This is a tough question for me to help you with. If it is suspected that there is a communication, the area needs to be opened up. I wish I could give you a simple solution. I don't know what you have tried to rinse your mouth with to reduce the odor, but you need to try to rinse your mouth with an anti-micro-organism rinse. There are two rinses that you can try. The first is only obtained via a prescription. It is called Chorhexidine and it should be used twice a day. The only negative of this rinse is that it can stain your teeth. Another rinse is simply Listerine. It kills bacteria and other oral microorganisms. You need to rinse with this twice a day. Use 1/2 capful and rinse for 30 seconds twice a day. Morning after breakfast and at night before bed. Nothing to eat or drink for 1 hour after the 30 second rinse. Do not use any other mouth rinses.

So try my recomendation and see if it helps. If not, then the only approach may be a surgical exposure of the graft area. I wish you well and hope the rinse works.

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