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Oral Surgery/Sinusitis or Upper Molar infection?

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Question
Hello,

I have chronic sinusitis and just had a large cavity in my last upper back molar tooth (Left side) filled two days ago. I was told it will need to be extracted or "root canalled". The dentist said the root was bleeding when she drilled into it. I am on Amoxicillin 500 mg, 3 times a day, until my regular doctor returns on Monday.

Tonight, my left cheek is very red (this is not uncommon for me to have red, hot cheek(s) due to my sinusitis). I have no swelling on my gums.

If my upper back molar was abscessing, would I have swelling in my gums, or would it affect my maxillary sinus directly? I am trying to differentiate between a sinus infection, and an immediate dental abscess from this bad tooth.

Can it wait until Monday to be extracted? What signs would I be having if I need an emergency extraction? Thank you,

Chris

Answer
Hello Chris,

I hope you did well over the weekend. In these kind of situations, it is better to have the tooth removed as soon as possible to avoid severe infections. I think the the red/hot cheek might be from the tooth, since sometimes the root of the teeth are located in the sinuses.

Good luck,
Dr. J

Oral Surgery

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Majid Jamali, D.M.D. Fellowship trained in corrective jaw surgery

Expertise

Diplomate, American Board of Oral & Maxillofacial Surgery Full scope Oral & Maxillofacial Surgery, Orthognathic Surgery, Genioplasty and Anesthesiology I have completed an additional two years of fellowships in orthognathic surgery and anesthesiology field.

Experience

Faculty at numerous hospitals

Organizations
AAOMS ADA ASDA NYSDS

Publications
New York Dental Society Journal

Education/Credentials
Tufts University: Dental School SUNY Down-State Medical Center: OMFS residency Robertwood Johnson Medical Center: Anesthesiology fellowship Lenox Hill hospital: Orthognathic fellowship

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