Can’t Afford My Sinus Perforation

I had a molar extraction about six months ago. During the procedure, my dentist perforated my sinus. After a few weeks a piece of bone came out. I thought it had healed over after that. However, recently I blew my nose and so much air came through that it literally blew my partial denture out a bit. I don’t have the money to get this fixed at the moment and my dentist has retired. What do you recommend?


Dear Laura,

I am glad that you wrote. While a sinus perforation can happen to any dentist because of mouth structure– there are some maxillary molars that have a very thin membrane separating them from sinus cavities. That being said, your dentist should have addressed the issue. While it sounds like he let you know that it was perforated, it does not sound like he actually closed the perforation.

At this point it should have healed. Because it did not, I would suggest you see an oral surgeon. I know you said you are not able to afford a dentist right now, but I think your dentist should take responsibility for this. If the dentist had partners, talk to one of them about what is going on. They should cover the cost of this.

If his practice was sold, there should be provisions in the contract dealing with post-operative complications, etc.

I feel confident that you can get this covered without expense to yourself (except for your time, of course).

This blog is brought to you by Phoenix Dentist Dr. Hillary Peck.