have the extraction socket healed properly?since 3 teeth in upper jaw has got extracted,there will be opening into maxillary sinus region.this is the reason of popping in ear.
this is a case of acute maxillary sinusitis
.the tooth extraction has caused perforation of sinus.the organisms involved are s.pneumoniae,h.influenzae.
usual symptoms are moderate to severe pain
with swelling over the sinus.pressing over the maxilla increases pain.often,the painful sensation is one of pressure.pain may be referred to various areas like cheek,posterior teeth and ear.
sinus pain increases when the patient bends over or is supine.there may be pus discharge into nose,fetid breath,fever
transillumination/sinus view radiograph/computerised tomography
can be used for final diagnosis.
the prime objective of treatment is the removal of infecting locus.this is particularly efficacious if the infection is of dental origin.
antibiotics should be taken as there is infection.healing is usually uneventful when this is done.