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Hi. I Wrote A Dentist On Here Already. I Am

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Posted on Fri, 14 Aug 2020
Question: Hi. I wrote a dentist on here already. I am currently seeing my general practitioner, my dental surgeon , and my ENT. In January I had two implants. Under sinus cavity with a bone graft. It was done well. But 2 weeks later I get the worst sinus infection I ever had. I am prone to these. After going on Medrol pack and augmentin. Twice. It was still very painful. Very congested. My doc even said my wbc’s were elevated. So I had a cat scan. It showed a big mass in that area. So I went to ENT. He did a balloon sinuplasty he said went really well. He got in all areas even with my deviated septum. It subsided. After 6 -8 weeks. So I went back to dentist. I am not even working on those two teeth. Too worried still. But I had a third implant that did take by front so he’s finishing up that . He barely goes in. Just to size the tooth to be placed And two days later>. I get another sinus infection. ? It’s almost as bad as first. I again go on medrol and twice again on augmentin. I’m finishing up augmentin. 2 days left. And it’s barely better. I saw ent. Last week He said wait. Let’s see what happens. He may need to do another sinuplasty: I don’t know? Or something in hospital? I dread hospitals right now . And I fear it is not going unfortunately

I am supposed to go in to finish up my tooth this week. And one on bottom. The rest I won’t touch yet so he’s makiNg me a partial for now. For that area

I’m not sure what to do first? Never had so many problems. I’m of course going to f/u with my doctors. But I wanted your opinion. Since I asked a dentist. I thought I should now ask the ent specialist too Am I not a good candidate for implants now due to my sinuses? Is that possible? I have 4 missing teeth now! Awful.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Hi. I wrote a dentist on here already. I am currently seeing my general practitioner, my dental surgeon , and my ENT. In January I had two implants. Under sinus cavity with a bone graft. It was done well. But 2 weeks later I get the worst sinus infection I ever had. I am prone to these. After going on Medrol pack and augmentin. Twice. It was still very painful. Very congested. My doc even said my wbc’s were elevated. So I had a cat scan. It showed a big mass in that area. So I went to ENT. He did a balloon sinuplasty he said went really well. He got in all areas even with my deviated septum. It subsided. After 6 -8 weeks. So I went back to dentist. I am not even working on those two teeth. Too worried still. But I had a third implant that did take by front so he’s finishing up that . He barely goes in. Just to size the tooth to be placed And two days later>. I get another sinus infection. ? It’s almost as bad as first. I again go on medrol and twice again on augmentin. I’m finishing up augmentin. 2 days left. And it’s barely better. I saw ent. Last week He said wait. Let’s see what happens. He may need to do another sinuplasty: I don’t know? Or something in hospital? I dread hospitals right now . And I fear it is not going unfortunately

I am supposed to go in to finish up my tooth this week. And one on bottom. The rest I won’t touch yet so he’s makiNg me a partial for now. For that area

I’m not sure what to do first? Never had so many problems. I’m of course going to f/u with my doctors. But I wanted your opinion. Since I asked a dentist. I thought I should now ask the ent specialist too Am I not a good candidate for implants now due to my sinuses? Is that possible? I have 4 missing teeth now! Awful.
doctor
Answered by Dr. Dr. Rajat Basak (5 hours later)
Brief Answer:
Hii. Welcome to the healthcare services. It seems that you are having repea

Detailed Answer:
Hii. Welcome to the healthcare services. It seems that you are having repeated dental infection superseded with repeated sinusitis. Recurrent sinusitis is due to spread of infection from the sinusitis. So ideally you need to do a CT scan and send the snapshot of the films. We need to see of there is any gross disease of the sinus or it is a simple sinusitis. We can also see the dental archs, palatal structure from the CT scan. Never go for a dental implant with the ongoing active infection process. Start augmentin for 1 week. Tak Metronidazole also for 5 days. Do a x ray orthopantogram also. Start hexidine gargle also. Take saline nasal spray solspre to clear the allergic mucus. Take steam inhalation. Start vitamin supplements. Review with CT scan report and if you have any queries.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. Welcome to the healthcare services. It seems that you are having repea

Detailed Answer:
Hii. Welcome to the healthcare services. It seems that you are having repeated dental infection superseded with repeated sinusitis. Recurrent sinusitis is due to spread of infection from the sinusitis. So ideally you need to do a CT scan and send the snapshot of the films. We need to see of there is any gross disease of the sinus or it is a simple sinusitis. We can also see the dental archs, palatal structure from the CT scan. Never go for a dental implant with the ongoing active infection process. Start augmentin for 1 week. Tak Metronidazole also for 5 days. Do a x ray orthopantogram also. Start hexidine gargle also. Take saline nasal spray solspre to clear the allergic mucus. Take steam inhalation. Start vitamin supplements. Review with CT scan report and if you have any queries.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Rajat Basak (4 hours later)
Yes. I’m having ct scan tomorrow. So I wil attach here when I get them. I’m not going to do any implant work there. But can I just do other work as I have a root canal needed on bottom of mouth. And on the side where the implants failed. One didn’t fail and the screw is there. Right next to front tooth. I’d like to just put the tooth on top so it’s not just a screw. But finally have a real tooth there ? That isn’t doing an implant it’s just finishing the tooth placement on the screw three teeth away from sinus area the dentist says. Is that ok just to do this? I hope?
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Yes. I’m having ct scan tomorrow. So I wil attach here when I get them. I’m not going to do any implant work there. But can I just do other work as I have a root canal needed on bottom of mouth. And on the side where the implants failed. One didn’t fail and the screw is there. Right next to front tooth. I’d like to just put the tooth on top so it’s not just a screw. But finally have a real tooth there ? That isn’t doing an implant it’s just finishing the tooth placement on the screw three teeth away from sinus area the dentist says. Is that ok just to do this? I hope?
doctor
Answered by Dr. Dr. Rajat Basak (9 hours later)
Brief Answer:
Hii. I think you should not undergo any major procedure till the infection

Detailed Answer:
Hii. I think you should not undergo any major procedure till the infection settles. But you can undergo small procedure. You can fix the screw but avoid major procedure. Follow the previous advice and medication.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. I think you should not undergo any major procedure till the infection

Detailed Answer:
Hii. I think you should not undergo any major procedure till the infection settles. But you can undergo small procedure. You can fix the screw but avoid major procedure. Follow the previous advice and medication.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rajat Basak (4 hours later)
Yes. Ty. I do saline rinses called ocean. It has bezalkonium chloride and saline in it. I read benzalkoniom may kill Covid plus it’s not expensive. My ENT surgeon uses it himself. He wants me to do neilmed w my infection. But I can’t. If it worked maybe. But I used it 4 times a day for first infection. I don’t know. Nothing helped but time and antibiotics. And steam. I’m afraid to do neilmed bottle. It’s so tedious and w Covid. I fear I’ll get germs. I’ll try to find hexidine gargle. I’m using listening antibacterial now. Ty.
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Follow up: Dr. Dr. Rajat Basak (0 minute later)
Yes. Ty. I do saline rinses called ocean. It has bezalkonium chloride and saline in it. I read benzalkoniom may kill Covid plus it’s not expensive. My ENT surgeon uses it himself. He wants me to do neilmed w my infection. But I can’t. If it worked maybe. But I used it 4 times a day for first infection. I don’t know. Nothing helped but time and antibiotics. And steam. I’m afraid to do neilmed bottle. It’s so tedious and w Covid. I fear I’ll get germs. I’ll try to find hexidine gargle. I’m using listening antibacterial now. Ty.
doctor
Answered by Dr. Dr. Rajat Basak (9 hours later)
Brief Answer:
Hii. It's fine and absolutely ok if you are doing saline rinses. You can ho

Detailed Answer:
Hii. It's fine and absolutely ok if you are doing saline rinses. You can hot saline gargle home made or betadine or hexidine gargle. Any of the above options are normal. Take some zinc supplement like zincovit syrup. Avoid cold diet. Take warm fluids, tea, coffee.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. It's fine and absolutely ok if you are doing saline rinses. You can ho

Detailed Answer:
Hii. It's fine and absolutely ok if you are doing saline rinses. You can hot saline gargle home made or betadine or hexidine gargle. Any of the above options are normal. Take some zinc supplement like zincovit syrup. Avoid cold diet. Take warm fluids, tea, coffee.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Rajat Basak (3 days later)
Hi. I thank you again for this help. I tried to find Hexidine mouth wash. I found Colgate peroxyl? Is that good? So my ct scan shows no infection. Just a little mucus clear On same side as dental work. . I was on 2 rounds of augmentin. So my symptoms which is strong sinus pressure .headaches could be allergies. At this point both docs ENT and my internist he happens to be infectious disease doc . Think it should just go away. And it was allergies. I had my first implant finished second Will be : in two weeks
Is rinsing 1 part hydrogen peroxide to two parts water ok? I read it’s good for implants. And fighting cavities. And killing Covid if it gets in there. Pray not. What do you think? Or maybe just for a few days after dental work? As of now even though it’s only allergies. My ent did agree that it might be good to avoid sinus area with my history of bad infection Needing sinuplasty after the one failed implant. That was infection But I have too many needed ones to not take another chance I feel and get ones around sinus but not directly under. Maybe it was a coincidence I got the second one which turned out to be allergies? Ty for you time and opinion I know it’s a lot.
default
Follow up: Dr. Dr. Rajat Basak (0 minute later)
Hi. I thank you again for this help. I tried to find Hexidine mouth wash. I found Colgate peroxyl? Is that good? So my ct scan shows no infection. Just a little mucus clear On same side as dental work. . I was on 2 rounds of augmentin. So my symptoms which is strong sinus pressure .headaches could be allergies. At this point both docs ENT and my internist he happens to be infectious disease doc . Think it should just go away. And it was allergies. I had my first implant finished second Will be : in two weeks
Is rinsing 1 part hydrogen peroxide to two parts water ok? I read it’s good for implants. And fighting cavities. And killing Covid if it gets in there. Pray not. What do you think? Or maybe just for a few days after dental work? As of now even though it’s only allergies. My ent did agree that it might be good to avoid sinus area with my history of bad infection Needing sinuplasty after the one failed implant. That was infection But I have too many needed ones to not take another chance I feel and get ones around sinus but not directly under. Maybe it was a coincidence I got the second one which turned out to be allergies? Ty for you time and opinion I know it’s a lot.
doctor
Answered by Dr. Dr. Rajat Basak (3 hours later)
Brief Answer:
Hii. You can try betadine gargle or hexidine wash or colgate peroxyl. Dilut

Detailed Answer:
Hii. You can try betadine gargle or hexidine wash or colgate peroxyl. Dilute hydrogen peroxide is too much strong, don't use it daily. Please take fluticasone and saline solspre for allergy. Take steam inhalation.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Rajat Basak (0 minute later)
Brief Answer:
Hii. You can try betadine gargle or hexidine wash or colgate peroxyl. Dilut

Detailed Answer:
Hii. You can try betadine gargle or hexidine wash or colgate peroxyl. Dilute hydrogen peroxide is too much strong, don't use it daily. Please take fluticasone and saline solspre for allergy. Take steam inhalation.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Dr. Rajat Basak

ENT Specialist

Practicing since :2011

Answered : 802 Questions

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Hi. I Wrote A Dentist On Here Already. I Am

Hi. I wrote a dentist on here already. I am currently seeing my general practitioner, my dental surgeon , and my ENT. In January I had two implants. Under sinus cavity with a bone graft. It was done well. But 2 weeks later I get the worst sinus infection I ever had. I am prone to these. After going on Medrol pack and augmentin. Twice. It was still very painful. Very congested. My doc even said my wbc’s were elevated. So I had a cat scan. It showed a big mass in that area. So I went to ENT. He did a balloon sinuplasty he said went really well. He got in all areas even with my deviated septum. It subsided. After 6 -8 weeks. So I went back to dentist. I am not even working on those two teeth. Too worried still. But I had a third implant that did take by front so he’s finishing up that . He barely goes in. Just to size the tooth to be placed And two days later>. I get another sinus infection. ? It’s almost as bad as first. I again go on medrol and twice again on augmentin. I’m finishing up augmentin. 2 days left. And it’s barely better. I saw ent. Last week He said wait. Let’s see what happens. He may need to do another sinuplasty: I don’t know? Or something in hospital? I dread hospitals right now . And I fear it is not going unfortunately I am supposed to go in to finish up my tooth this week. And one on bottom. The rest I won’t touch yet so he’s makiNg me a partial for now. For that area I’m not sure what to do first? Never had so many problems. I’m of course going to f/u with my doctors. But I wanted your opinion. Since I asked a dentist. I thought I should now ask the ent specialist too Am I not a good candidate for implants now due to my sinuses? Is that possible? I have 4 missing teeth now! Awful.