I am having problems with my sinus graft, what should I do?

Q.
I started over a year ago to have three implants done to anchor my bridge. The sinus was moved due to its location close to an implant and synthetic bone was backed and given time to heal. I ended up with a sinus infection over 8 months ago. Since then I have seen an ENT to have the infection scraped from my left sinus and the infection still persists. I have been to an infectious disease doctor to get antibiotics pumped throuhg through an Iv. After six weeks I still have an infection. The dentist finally decided to remove all the packing and anchors for the implant to try and get rid of the infection. All indications are that the infection started when the material was packed into my bone. I know have a hole in my jaw where the sinus is visible. Temporary packing was done to protect the sinus after the procedure to remove all the work that has been done over the last year. The dentist is not sure whether to try it again or not. My question is what can be done to repair the damage where the sinus is visible and where should I go from here. I currently have the antibiotics via the IV for the next three weeks to try to get rid of the infection.
If the infection was in the synthetic packing why did the antibiotic not get absorbed and kill the bacteria once it was in the jaw?
A.
Its very unusual for a sinus graft to get infected although your dentist sounds like he’s done all the right things since it happened. Sometimes antibiotics are not strong enough to cure a severe sinus infection without removing the graft material.

The best thing would be to wait for 6-12 months to allow everything to resolve before rescanning the sinus, before deciding on a whether you’d like to risk starting the treatment again.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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