Upper Jaw and Nasal Congestion After Wisdom Tooth Extraction - Otolaryngology

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After wisdom tooth extraction, particularly from the upper jaw, it is not uncommon for patients to experience a range of sensations and symptoms, including a feeling of congestion or pressure in the nasal area. This can be attributed to several factors related to the surgical procedure and the anatomical proximity of the teeth to the nasal cavity.

Firstly, during the extraction of upper wisdom teeth, there is a risk of creating a communication between the oral cavity and the maxillary sinus, which is located just above the upper molars. This condition is known as an oroantral fistula. If the sinus membrane is inadvertently perforated during the extraction, it can lead to a sensation of fullness or pressure in the nasal area, as well as potential sinus-related symptoms. Patients may feel a sense of heaviness or congestion, which can sometimes be mistaken for sinusitis.

The "heavy" feeling you describe in your upper jaw and nose could be a result of inflammation or swelling in the area following the extraction. Post-operative swelling is a normal part of the healing process, and it can sometimes extend to adjacent structures, including the sinuses. This swelling can create a sensation of pressure or fullness, particularly when lying down or during certain times of the day when blood flow to the area increases.

Additionally, the use of medications, such as those prescribed by a traditional Chinese medicine practitioner, may not have immediate effects on the swelling or discomfort, and it may take time for the body to heal fully. It is important to continue monitoring your symptoms, especially if you experience any changes, such as increased pain, fever, or discharge from the extraction site.

The dizziness you mentioned could be related to several factors, including dehydration, anxiety, or even the position in which you are sleeping. If you are feeling anxious about your symptoms, this could contribute to a sensation of dizziness. It is essential to stay hydrated and maintain a balanced diet to support your recovery.

Given that you have already consulted with an oral surgeon and received advice, it is advisable to follow up with them if your symptoms persist or worsen. They may recommend imaging studies, such as a cone beam CT scan, to assess for any complications, including a possible oroantral fistula or other issues related to the sinus cavity.

In summary, the sensations you are experiencing in your upper jaw and nasal area after wisdom tooth extraction could be due to post-operative swelling, inflammation, or potential complications involving the maxillary sinus. It is crucial to maintain open communication with your healthcare providers, and if your symptoms do not improve or if you have concerns about your recovery, do not hesitate to seek further evaluation. Your health and comfort are paramount, and addressing these issues early can help prevent more significant complications down the line.