Persistent Tightness After Apex Surgery: Is It Normal?

Q: Persistent Tightness After Apex Surgery: Is It Normal?

Hello： During apical surgery, the flap around the affected tooth needs to be elevated. <br>The longer the tooth root, the closer it is to the nasal cavity. <br>The flap will gradually heal within a week, and there may be a slight feeling of tightness, which will disappear after 2

Is the area around the apex surgery still tight and hasn't subsided?

Hello, Doctor: I would like to ask you a question.
I underwent an apicoectomy on May 28 for my left central incisor and the adjacent lateral incisor.
However, starting from the fifth day post-surgery, I began to feel a tightness in the area just below my left nostril (inside).
This sensation occurs when I move my nose or speak (it wasn't present in the initial days).
Additionally, my left nostril has been producing more mucus.
I have already had my stitches removed, but this symptom has not resolved.
Sometimes, lying down or bending over alleviates the feeling, but it becomes more pronounced when I am standing.
My dentist mentioned that the surgical site looks fine, with no significant swelling or pain evident from the outside.
I would like to know if this symptom is normal and if it could indicate a problem related to my nose.
If it is normal, how long might it last? If it is not normal, what should I do?

Leonard, 30~39 year old female. Ask Date: 2004/06/07

Dr. Liu Tiancai reply Dentistry

Hello: During apical surgery, the flap around the affected tooth needs to be elevated.
The longer the tooth root, the closer it is to the nasal cavity.
The flap will gradually heal within a week, and there may be a slight feeling of tightness, which will disappear after 2 to 3 weeks.
The absence of bleeding from the nostrils post-surgery indicates that there is no oral-nasal fistula, so there should be no nasal complications.
If there is no improvement after 3 weeks, please consult a specialist in endodontics for further evaluation.
Sincerely, Dr.
Liu Tian-Cai, Department of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/06/07

More Info

After undergoing apex surgery, it is not uncommon to experience some persistent tightness or discomfort in the area surrounding the surgical site. The symptoms you describe, particularly the tightness below the left nostril and increased nasal discharge, can be attributed to a few factors related to the surgical procedure and the healing process.

Firstly, the tightness you feel may be due to inflammation or swelling in the tissues surrounding the surgical area. Even if your dentist has indicated that there is no significant swelling or pain, the healing process can still lead to sensations of tightness as the body repairs itself. This is particularly true in areas where there is a close relationship between dental structures and the nasal cavity, as the surgical manipulation can affect the surrounding soft tissues.

Additionally, the nasal cavity and the oral cavity are interconnected, and any surgical intervention in the upper jaw can lead to temporary changes in nasal function. The increased nasal discharge you are experiencing could be a result of post-operative irritation or inflammation, which is not unusual after dental procedures. The nasal mucosa can become reactive due to the proximity of the surgical site, leading to increased mucus production.

Regarding the duration of these symptoms, it can vary from person to person. Generally, mild tightness and discomfort can persist for a few days to a couple of weeks post-surgery as the tissues heal. If the tightness and nasal symptoms do not improve or worsen over time, it may warrant further investigation.
If you are concerned that these symptoms might indicate a more serious issue, such as an infection or a complication related to the surgery, it is advisable to follow up with your dentist or an ENT specialist. They can perform a thorough examination to rule out any underlying problems and provide appropriate treatment if necessary.

In the meantime, here are a few recommendations to help manage your symptoms:
1. Warm Compresses: Applying a warm compress to the area may help alleviate some of the tightness and promote blood flow to the tissues, aiding in the healing process.

2. Saline Nasal Spray: Using a saline nasal spray can help keep the nasal passages moist and may reduce irritation and discharge.

3. Avoid Irritants: Try to avoid exposure to irritants such as smoke, strong odors, or allergens that could exacerbate your symptoms.

4. Stay Hydrated: Keeping well-hydrated can help thin mucus and promote drainage, which may alleviate some of the nasal congestion.

5. Follow-Up: If symptoms persist beyond a couple of weeks or if you experience increased pain, fever, or any other concerning symptoms, seek medical advice promptly.

In summary, while some tightness and nasal symptoms can be normal after apex surgery, it is essential to monitor your condition and consult with your healthcare provider if you have any concerns. They can provide reassurance and guidance tailored to your specific situation.

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