Teleconsultation – 2023-07-14 16:48
I have pain after dental implant surgery in the upper jaw, the first molar. I have blood aout of the nose and it seems that when I sneeze there comes air aout of my mouth. What should I do.
Dear Patient,
I understand the discomfort you are experiencing after your recent dental implant surgery in the upper jaw. The symptoms you are describing may indicate a connection between your oral cavity and sinus, known as an oral-antral communication or fistula, which can occur following upper jaw dental implant placement.
It’s important to address these issues promptly to prevent further complications. Here is a step-by-step course of action:
- Immediate Consultation: Please contact your dental surgeon immediately to describe your symptoms. They may want to see you as soon as possible for an examination.
- Examination and Diagnostics: During your visit, the oral surgeon will examine the implant site and may order imaging tests like X-rays or a CT scan to confirm the diagnosis.
- Treatment Plan: If an oral-antral communication is confirmed, the treatment plan will be based on the size of the opening and the presence of infection.
If the opening is small (less than 2 mm) and there’s no infection, conservative treatment may be enough. This includes nasal decongestants to reduce sinus pressure, antibiotics to prevent infection, not blowing your nose, and avoiding creating negative pressure (like with a straw).
In case of a larger opening or infection, surgical closure will likely be necessary. The procedure, called a “sinus lift,” adds bone to your upper jaw in the area of your molars and premolars. It’s sometimes called a “sinus augmentation.” The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.” This surgery is performed by an oral and maxillofacial surgeon or a periodontist.
- Post-Treatment: Follow all instructions from your oral surgeon regarding post-operative care and medication. Regular follow-up appointments will be necessary to monitor your progress and ensure proper healing.
- Preventive Measures: To prevent this from happening in the future, your oral surgeon might recommend a sinus lift prior to dental implant placement in the upper jaw, particularly if you have significant bone loss.
As for the cost, based on the AUTONOME HONORARRICHTLINIEN guidelines, the fees for a simple dental implantation procedure, including an individual abutment and a full ceramic crown, are as follows:
| Procedure | Quantity | Fee |
|---|---|---|
| Simple Implantation (with 3D implant navigation and punch technique) | 1 | €1,476 |
| Individual Abutment | 1 | €280 |
| Full Ceramic Crown (Jacket Crown) | 1 | €1,132 |
| Diagnostic Package (3D Scan, 3D DVT, Implant Planning) | 1 | €180 |
| Total | – | €3,068 |
Please remember, these costs are estimates and don’t include possible additional treatments, such as a sinus lift procedure or treatment for infection.
Alternatively, if you’re interested, our team is currently conducting research on treatment plans generated through artificial intelligence. We offer a complimentary consultation, and if you participate in the study, there’s a 30% discount on the treatment.
Lastly, if the total cost exceeds €3,000, we offer a payment installments option. You can pay in six installments.
Please reach out to your oral surgeon immediately to discuss these symptoms and treatment options.
Sincerely,
[Your Name]
Board-Certified Oral Surgeon
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Kindly take note that this is a research project conducted by Michael Truppe, MD and should not be considered as medical advice. All rights reserved © 2023 Michael Truppe, MD.
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