Published September 2026

1 of 5Upper back tooth roots sit close to the sinus above them
  1. Upper back tooth roots sit close to the sinus above them
  2. Removing one can leave a small opening between the socket and the sinus
  3. The area is checked closely to find it
  4. The opening is closed with a small patch of tissue and a few stitches
  5. This kind of repair is a follow-up, not something planned ahead of time

Who usually does it

oral surgeon. Referred to an oral surgeon.

One question worth asking

What should I avoid doing while this heals?

Closing a sinus opening at the time of extraction

Extractions and wisdom teethMajorD7261

D7261. The opening is closed right away during the same visit the tooth is removed.

Upper back teeth sit close to the sinus, and removing one can leave a small opening that has to be closed. Other codes cover removing a piece of dead bone or a fragment that went into the sinus.

The roots of upper back teeth sit close to the sinus, so removing one can leave a small opening that has to be closed with stitches or a small flap. Other codes here cover taking out a piece of bone that has died or retrieving a fragment that ended up in the sinus. These are follow-up surgeries rather than something planned in advance. Most plans file this as Major. What they actually pay varies by plan.

Closing a sinus opening at the time of extraction (D7261): what happens, step by step | TruthMolar