Air pressure complaints after removal of implant?

Maybe the air is sensitizing the roots of the remaining teeth. I find that there is a definite period of time after surgery where adjacent roots are sensitive due to gingival re-attachment not occurring yet on teeth near the surgical site. Also this patient is likely a bruxer. With changes to the occlusion there will be an an increase in bruxing and general soreness/sensitivity. Do you have a plan to treat the occlusal problems in place? Maybe a occlusal splint would help.

I am unsure what you are asking or what the patient is complaining about. Does the patient complain about air sensitivity on the remaining teeth? Or is the complaint about a problem when the patient is exposed to changes in air pressure (eg in a plane flight)? Or is it when the patient dives under water? Or is it when the patient changes the position of their head? I hope you understand that the clinical symptoms and circumstances need to be described much more. The radiographs indicate considerable bone removal and one would think a fistula is definitely a possibility. However the absence of bone between the sinus and oral cavity does not mean there will be a fistula. I would think a clinical examination of the site would be a more accurate way of determining whether there is a soft tissue communication. Perhaps you can provide more information. Where was the implant located and why was it in the sinus? Was there any damage to the sinus due to the implant being there? Who removed the implant and what surgical technique was used? What were the clinical observations when surgery was performed? How was the flap repositioned; and what were the post-op considerations (eg prophylactic antibiotics, suture removal, etc)? If you have doubts, it would be wise to involve an oral surgeon or ENT specialist.

The patient had a sinus lift. It was poorly done. Implant was removed because she had several complaints about pain around implant area. Amoxicillin was given before and after the surgery. Implant was removed. Stitches were done. She complained about the air pressure in her head after the surgical removal also in the. Nasal area and Ears in a static position. Pressure is getting better with time. She was a neglected case. I didn't operate her. Her previous dentist did. As things were going towards healing I didn't prescribe anything than precautions (no blowing nose etc). I am unable to understand the cause of air pressure. Clinically there's no evidence of communication.

ENT has cleared the case. There's no problem according to him. The maxillofacial surgeon is also clueless about the air pressure complaints.

Give it some more time. More than likely the tissues have not fully healed yet and there still is probably some swelling of the Sneiderian membrane even if there is no oral/antral communication. Augmentin is a good idea and a Medrol dose pack can't hurt. Keep a close eye on the patient for another 4 weeks and it'll probably be fine. I would be interested hear how it goes after that.

My question is who crippled the upper and lower left side of this woman's jaws? In the area where I live, the Province of Quebec in Canada, it was not unusual to see a case like this, as there was a time when French Canadian dentists preferred to extract teeth that might have needed a small filling, and instead rendered their patients edentulous and wearing dentures before they finished their teens.....this is not dentistry, it is a criminal offence!!!

Have vise grip. Will travel. The patient obviosly has generalized periodontal disease. How the teeth were removed begs the question of how they were removed. The very small amount of remaing bone indictes to me that the teeth were removed with buccal plates attached using only a forcep. I am speculating but I wonder how the bone would look if the teeth were sectioned without any more bone loss during the procedure and the sites were grafted and covered with a PTFE membrane. With the site being so compromised that the time of implant placement it would have been wise to simple perform a sinus graft and wait for it to heal.