I went to a general dentist for extraction of a first upper molar on my
right side. I now think she was very inexperienced at extractions and
that she and her staff lied about this and she mainly does cosmetic
dentistry, this is because I have had a few other uneventful
extractions in the past by oral surgeons and this one has been such a
mess. Basically I think she rotated and elevated it too aggressively
causing lots of damage. In any case, I wonder if any dentists on here
can give me advice.

1) I had the extraction on a Friday afternoon. After the extraction I
felt something was seriously wrong and got nervous and asked my primary
doc for amoxicillin and took it for a week 3x day. I never take
antibiotics so people here will have to trust my intuition. I'd notice
during that week that sometimes as the time was nearing for the next
dose of amoxicillin the site would start throbbing, but once the
antibiotic was in my system it would calm down. After 7 days it felt
pretty decent so I stopped. Within 2 days I had severe nerve pain
again. While keeping the dentist informed of this she said I should be
on painkillers not antibiotics

2) I went back to her 10 days later, a Monday, and asked for an xray as
I was so concerned about the unusual pain. She said the antibiotics had
been a placebo effect, I should be on painkillers, and it was too
"sore" to take the x-ray I requested (I thought perhaps a root fragment
or something might be in there).

3) It was NOT too sore as I went around the corner to a clinic the next
day for an x-ray but nothing obvious showed. However the fact she
refused to take an x-ray and the subsequent problems I encountered
makes me feel she is liable for malpractice.

4) My best friend took me to her dentist of 20 years, he was concerned
that I had a sequestrum or a sinus perforatin, took a panorex, wasn't
able to determine, gave me another antibiotic, and said let's just see
if that works, otherwise you can come back and we'll open it up and a
sequestrum will start showing itself soon if itst hat. It took me weeks
of severe pain and to notice I did indeed have a sequestrum. In fact,
and this may sound weird to you all, but I visualized my tooth socket
and I drew a fracture going up the front part (where the nearest root
would have been I guess) and a bony fragment sticking out. I showed him
the drawing. He had to do a flap surgery or whatever thats called go
in, found the fragment, removed it, smoothed down the bone. He said the
fracture went up 90% of the socket and that a 3 by 4 mm piece of bone
was MISSING ie had come out in the procedure. BTW the first time i
visited him I had him call her to tell him had anything unusual
happened in the procedure butshe never mentioned this--yet she must've
seen that piece of bone come out. She's not an idiot. Let's just say
I'm pretty angryw ith her and yes I'm going to sue her, I"ve researched
this, I understand one can have seqeualea BUT her followup is dishonest
and atrocious requiring me to seek help elsewhere for additional cost.

5) After he remoed that--he didn't see any obvious infection and did
not recommend antibiotics, I was in severe pain for a while, SEVERE (as
in, I was hysterical), but now 2 1/2 weeks later that area is
completely healed and does not hurt. However I feel there is infection
somehow percolating in there as it  initially responded to antibiotics,
flare dup off antibiotics, and I have continued pain that feels up at
the top of the socket and sinus floor, feels very sore, sometimes is
nerve pain that runs up the side of my nose and down my arm, other
tiems just feels sore and pressure. But I do not really want to take a
3rd course of abx until I find out what is the strange cause here as
the scraped down bone where the sequestrum was has HEALED j ust fine.

6) I began to wonder if I had a small sinus perforation as well. I went
to an oral surgeon via my HMO and she also took ap anroex and told me I
have ver ylarge sinuses geneticaly that dip down low with very little
bone btw teeth and sinus. That's just me--not that i have bad bone or
bone loss, just my anatomy. So she agreed to order a catscan hoping we
can visualize it better in case there would be a perforation. Its the
only thing that I, formerly somewhat dentally naive, can think of,
considering my anatomy, how idiotic and uncaring and inept this first
dentist was. Oh I forgot to mention, because it was "bleeding
excessively" (and no, I don't take aspirin or blood thinners and yes my
platelets are normal) she stitched it with dissolvable sutures (2) in
spite of my request that she wait with me to let it clot on its own. I
felt that it would be much healthier for it to clot on its own as other
extractions had esp since then it can freely drain and you are probably
less likely to get an infection. But since she's 7 months pregnant and
wanted to go home early (it was 4 pm) she stitched it, she dind't say
that's why, but I believe that's why she wouldn't wait longer.

So I am wondering, perhaps  I had a small sinus perforation that would
have healed up on its own but a proper clot didn't form/ I E perhaps I
had everytihng go wrong possible--fracture, sequestrum, perforation,
and infection that I self treated but is somehow still percolating low
grade in the sinus area if it isn't healing properly.

Am I doing the right thing with a catscan? Of course I am waiting for
"preapproval" from my insurance so I cant get the scan till next week
and then have to go see the oral surgeon again etc. What else can I do?
Past extractions hurt for only a day or two and healed up fine. This
thing has been going on for 6 weeks and the fact that the sequestrum,
shaved down bone, has healed up fine in 2 weeks, and yet I still have
this pain, pressure, and sometimes nerve pain that feels on the top of
the socket/sinus floor of the extraction area, and sometimes the gum
there is sore too--but nothing obvious to the naked eye--what else
could it logically be?

Thanx