Posted by: annette | 2018/10/18


Oral issue

Had a upper left back molar pulled. Oral surgeon said it was over a sinus cavity, and I could have a hole, and if so, drink and food would come out my nose. I didn't have one, thankfully but is that true said it would take 3 months to heal and would need surgery. No one seems to believe that if there was a hole, that your food and water you ingest would come out your nose for 3 months..and you'd need surgery. I was upset and didn't ask the surgeon further. Want to know where the hole would be and why it would be there had I had one....and if it's true that things ingested would could come out my nose. Thank you

Expert's Reply


Oral health expert
- 2018/10/19

Sometimes, the roots of the teeth lie in close proximity to the sinus (which are the "holes" you talk about). The root endings of the upper molars are situated in the maxillary sinus, and extraction of these teeth may create an opening from the mouth cavity into the maxillary sinus. A small perforation will usually heal by itself, provided that a decent clot forms in the socket. It is important that the clot does not dislodge, and the patient should therefore be advised to refrain from blowing his/her nose vigorously for 3–4 weeks. If the perforation is large and does not close within 2–3 weeks, a surgical repair will be necessary and the patient should be referred to an oral surgeon.

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