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Oral Surgery/Sinus communication after wisdom teeth surgery


Hello, I had my 4 impacted wisdom teeth extracted 5 days ago. Ever since I've been feeling air pass between my sinus cavity and the upper left wisdom tooth hole. Also when I drink or swish water around my mouth it feels like some gets in my nose. Than there is a salty bitter tastes in my mouth.  My left nostril also feels cold, much colder than my right nostril. I've also had some headaches and slight pressure in the ear on the left side as well.

Over the last 5 days the symptoms seem to be getting slightly worse, and more pronounced. I've called my oral surgeon and have set up an appointment, but thats in another 5 days. So what should I do in the mean time since I assume it isnt healing on its own. If it comes to surgery, than what is the surgery like? Would I need two surgeries one to cleen it one to close it? Is it done in oral surgeons office? What anesthesia options would I get?

Thanks so much for your advise. Am I being over paranoid?


Luke, These things sometimes happen. When you see your surgeon, they will decide what to do. They may decide to leave it alone and see if it will close on its own or they may want to perform a surgery to close it. Just follow any directions that your surgeon gave you. I hope that helps.

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James M. Ryan. DDS, MS; Board Certified Oral and Maxillofacial Surgeon


Dr. Ryan's expertise is in the field of Oral and Maxillofacial Surgery. Specifically, Dr. Ryan is an expert in Orthognathic Surgery. He holds uniques experience as the former Assistant Program Director of the Oral and Maxillofacial Surgery Residency Training Program at Washington Hospital Center where he trained residents to perform these complicated surgical procedures. Additionally, Dr. Ryan also has a tremendous amount of experience in reconstruction of the maxillofacial skeleton related to trauma and tooth loss. Dr. Ryan is an expert in 3 dimensional treatment planning for Orthognathic Surgery, Dental Implant Surgery and Wisdom Teeth removal. To learn more about Dr. Ryan, his full profile can be seen at


Diplomate of the American Board of Oral and Maxillofacial Surgery with current hospital affiliations at: Washington Hospital Center Holy Cross Germantown Hospital National Institute of Health/NIDCR

American Dental Association. American Association of Oral and Maxillofacial Surgeons. District of Columbia Society of Oral and Maxillofacial Surgeons. District of Columbia Dental Society. American Board of Oral and Maxillofacial Surgeons. Health Volunteers Overseas.

Journal of Oral and Maxillofacial Surgery Journal of The American Dental Association

S.U.N.Y @ Stony Brook- B.S. in Biochemistry, Stony Brook, NY. Northeastern University- M.S. in Perfusion Technology, Boston, MA. D.D.S.- New York University College of Dentistry, New York, NY. Certificate and Chief Resident- Washington Hospital Center, Washington, DC. Clinical Fellow- The Johns Hopkins Hospital, Baltimore, MD.

Awards and Honors
Dr. Ryan has received numerous awards including: 2006 American Association of Oral and Maxillofacial Surgeons Dental Student Award, Washington Hospital Center 2008 Nurses' Choice Physician Collaboration Award, 2009 Resident Research Summit Scholarship Award, and the 2011 Outstanding Surgical Attending in the Department of Oral & Maxillofacial Surgery at Washington Hospital Center. He has also authored/coauthored and published several journal articles and held several teaching positions,including assistant professor, while at NYUCD.

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