Sinus Problems After a Root Canal Treatment? What Could It Mean?

by | Aug 20, 2023 | Blog Posts

Sinus Problems After a Root Canal Treatment? What Could It Mean?

Root canal treatments are safe and effective procedures. 97% of cases show long-term success without complications.1 However, just like with any other dental or medical treatment, there are potential risks, and one of those risks is sinus issues. Understanding how to identify sinus problems after a root canal and when to contact your dentist can help ensure the best health outcome.

Are Issues After Root Canal Treatment Common?

Most root canal treatments are successful and bring no notable complications. However, you can expect some mild symptoms during recovery that are routine and are only cause for concern if they worsen.

You should generally see most of your symptoms fade within a week after your root canal treatment. Some mild discomfort during the first few days is normal. You may experience tooth sensitivity but shouldn’t have any pain. Some swelling is also possible.

Mostly, these symptoms can be dealt with using an ice pack or over-the-counter pain medication. You can also help smooth your recovery by avoiding foods that require a lot of chewing so that you aren’t putting any unneeded strain on the affected area.

How Can I Tell If I Have Sinus Problems After a Root Canal?

You may also notice some symptoms associated with your sinuses during your recovery. Sinus problems after a root canal are common but are very mild in most cases. The sinuses are close to the upper teeth, so a root canal on a tooth in the upper row can lead to some irritation.

The procedure could result in a small hole being made in the sinus lining, called a sinus communication. Common signs of sinus problems after a root canal include:

  • Congestion
  • Sinus pressure
  • Runny nose

These symptoms are rarely cause for concern. A minor sinus communication will heal itself within the first few days of your recovery without any action being taken. However, persistent or severe symptoms could signify a more serious issue.

When Should I See My Dentist About Sinus Issues?

There’s no need to contact your dentist about mild symptoms over the first few days of recovery. However, a major sinus communication is something that you will have to visit your dentist about. You should see them when signs of severe sinus problems after a root canal become clear.

If your symptoms are worsening or haven’t been resolved about four days after your treatment, you should contact your dentist for a follow-up appointment. Some other indicators that the problem might be more severe include the following:

  • Pain around the area of the sinus or the treated tooth
  • A metallic taste
  • Signs of blood or pus in the nose

You can visit your dentist to find out whether these symptoms really do indicate a significant sinus communication. In such cases, the hole may not heal on its own. However, treatment for sinus communication is generally straightforward, requiring simple sutures to close the gap and allow for proper healing.

Personal Care Before, During, and After Your Treatment

At Empire Dental Care, Dr. Tehila Cohen provides personalized care at every step, carefully developing your treatment plan and delivering aftercare for the best oral health outcomes. You can trust us to provide gentle care during your root canal treatment and help you through a healthy recovery. Schedule an appointment today to get started. 585-671-1650





Dr. Cohen has been practicing dentistry in private and public settings for over 10 years, completing her DMD degree in 2010 at the Hebrew University of Jerusalem, Israel. Committed to providing dental care of the highest level, Dr. Cohen relocated to Rochester in 2016 to pursue advanced dental trainings at the Dental Urgent Care Fellowship at The University of Rochester, Eastman Institute for Oral Health, graduating in 2017, and the AEGD Residency program in 2019. She recently completed an additional advanced General Practice Residency program at St. Peter’s Hospital in Albany NY. This summer she moved back to Rochester with her husband Kevin, a native Rochesterian, to be closer to family. Throughout her career and personal life, Dr. Cohen has shown her genuine compassion and care to people and patients from all walks of life. She volunteered in underserved areas, practiced in clinics for patients with complex special needs, and treated medically compromised patients among others. She also taught and mentored other dentists and students helping them achieve their professional and personal goals. Most of all, Dr. Cohen’s warm personality and love of people create a welcoming, comfortable feeling for both patients and staff.