Nov
Reviewed by Dr. Ava Khodakhast
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Reading time: three minutes
When upper back teeth are removed, their roots sometimes sit very close to the maxillary sinus. If the thin bone or sinus membrane is accidentally perforated during extraction, it can create a small opening between the mouth and sinus. This is called a sinus perforation or oroantral communication.
Small perforations are usually harmless and close on their own. Larger ones, however, can cause discomfort, infection, or sinus complications if not treated properly.
Sinus perforation is uncommon, but it can occur when upper molars or premolars are removed due to their proximity to the sinus cavity.
It’s more likely to occur when:
With careful technique and planning, most cases can be avoided or treated successfully.
A small perforation might go unnoticed at first, but certain signs suggest that the sinus has been affected.
Common symptoms include:
If you notice any of these after an upper tooth extraction, contact your dentist right away.
If you had a tooth extracted at Argyle Family Dental, Dr. Khodakhast will carefully examine the area to determine whether a sinus perforation has occurred. She may:
These steps help her determine whether the opening can heal on its own or requires additional treatment.
Small openings that are less than 2 millimeters often heal on their own within a few weeks. A collagen plug or membrane may be used to help the tissue close. You may be prescribed antibiotics or nasal decongestants to prevent infection.
For moderate or larger openings, sutures or minor surgery may be needed. In more severe cases, a soft tissue flap can be used to seal the sinus completely. Most patients heal within two to four weeks, but larger or infected perforations may take longer.
Sinus perforations are uncommon, but when upper molars are close to the sinus cavity, precision and experience make all the difference.
Dr. Khodakhast combines advanced training with years of clinical experience to perform extractions safely and comfortably. She uses 3D imaging to plan each procedure in detail, protecting nearby structures and minimizing complications.
If you suspect a sinus perforation or have unusual symptoms after a tooth extraction, prompt follow up care is important.
To book an appointment at our dental office in Centennial, CO, call (303) 770-2254 or request an appointment online.
Common symptoms include air or fluid moving between your mouth and nose, nasal congestion, cheek pressure, and unusual drainage from the extraction site. If you recently had wisdom teeth or upper molars removed and notice these signs, contact your dentist promptly.
Small openings from dental extractions often close naturally within a few weeks if you follow sinus precautions and allow the blood clot to remain undisturbed for proper healing.
Most are minor and temporary, but untreated perforations can allow bacteria from the nasal cavity to enter the mouth, leading to sinus infections or chronic discomfort.
Small perforations typically close in 2–4 weeks. Larger or persistent openings may take longer or need minor surgical repair to restore complete sinus closure.
Avoid both until your dentist confirms full healing. Sudden pressure changes can disrupt the surgical site and delay closure.
Immerse yourself in the world of exquisite dental artistry crafted by Dr. Ava Khodakhast, a
distinguished prosthodontist whose journey is a testament to the fusion of science and art in
dentistry. With an unwavering commitment to elevating lives through her specialized expertise, Dr.
Khodakhast has redefined the landscape of prosthodontics, captivating hearts with her transformative
work.
Embarking on her odyssey in 2000 as a Doctor of Dental Surgery, Dr. Khodakhast's passion for her
craft led her to traverse continents for knowledge. She pursued her American DDS at the esteemed
University of Missouri, Kansas
City, setting the foundation for a remarkable career. Yet, her thirst
for mastery pushed her to delve deeper. Venturing into the realm of complexity, she dedicated three
intensive years at the Medical College of Georgia, earning a master's in Oral
Biology and seamlessly
entwining it with a Residency in Prosthodontics.
Prosthodontics is the symphony of precision and creativity, where every note is a smile transformed.
Dr. Khodakhast is a virtuoso in this art, specializing in intricate cosmetic makeovers, implant
procedures, and comprehensive mouth rehabilitation. Recognized as a "Diplomate" by
the American Board of
Prosthodontics and as a "Fellow" by the American College of Prosthodontists, she soars
among the select few who define excellence in this arena. Her certification as a prosthodontist is a
testament to her rigorous education and training, making her a beacon of expertise for dental and
maxillofacial reconstruction and rehabilitation. Dentists themselves entrust their patients to her
care, a testament to her unparalleled mastery.
A luminary in academia, Dr. Khodakhast served as the assistant director of Advanced Education in
General Dentistry at the University
of Missouri in Kansas City. She also worked in private practice
at UMKC, applying the techniques and skills she taught in complicated, aesthetic case settings.
During her junior year of college, she graced India with her charitable work, a touch of humanity
that infuses her artistry with compassion.
Emanating from the core of her being is a dedication to her patient's well-being. You can rely on
her to provide unparalleled care rooted in scientific precision and artistic commitment.