Sinusitis is not an absolute contraindication to tooth extraction, but generally chronic sinusitis is perfectly acceptable. The reason is that patients with chronic sinusitis last for a relatively long time, and in almost all cases the nasal cavity is not very well ventilated bilaterally, and there is more or less nasal discomfort. For such cases if they are listed as contraindicated for extraction, patients with this type of chronic sinusitis do not have time for extraction. However, in the case of clinically acute sinusitis, it is indeed possible to consider waiting for the inflammation to turn chronic or to heal before extracting it. Because acute sinusitis is in most cases accompanied by an acute upper respiratory tract infection, the patient is in a relatively immune compromised situation and may be at greater risk for tooth extraction at this time.