It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Sinus Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-04-2008, 04:47 PM   #1
Junior Member
(male)
 
Join Date: May 2005
Posts: 19
almok HB User
Sinus evaluation for likely dental issue

In late November I started having pain in my upper right mouth towards the back teeth and gum area. After a week I went to the dentist who did digital x-rays and visual inspection and said my teeth looked healthy so he refered me to an endodontist. The endo did a single regular x-ray as well as tooth sensitivity tests and everything checked out fine. He said come back if the pain gets worse. A week later I start getting a headache behind the right eye as the oral pain gets worse. I go back to the endo and he does a second x-ray and everything is fine. He tapps the teeth and no pain. At this point it seems that when the oral pain gets worse, so does the headache. I decide to go see my wife's dentist(who I have known for years) and he inspects my mouth and says he sees a questionable spot on my gums and sends me to the oral surgeon. I go to the oral surgeon who looks at my x-rays, does more sensitivity tests and says that it might be my maxillary sinuses causing the issue and refering pain to upper back molars. He gives me 500 MG amoxycilin for 10 days. It did not make a difference. He did 1 panoramic x-ray which also looks at the sinuses(I assume in a limited fashion?) and everything looks fine. I went back to my original dentist and he says that I do not have the absolute signs of a root canal issue yet, but I do have some gingival recession. He is 85% sure it is a dental issue but does not want to do mouth work unless he is absolutely sure it is my tooth. My gut feeling is that it is my second rear molar. One year earlier I had amalgams removed on this tooth and the one behind it and my teeth never seemed right after that. Some moderate pain for a few months then it went away until November came and the intense pain showed up that I have now. The only symptom I have is sensitivity to cold and irritation when flossing. I do have some uncomfortable facial pain and headaches due to this problem. He advised me to go to my primary doctor for a sinus eval and after listening to my history she does not think it is my sinuses but to be sure we will do a sinus CT so the dentist can then go forward and treat the mouth. Does the CT scan sound excessive and necessary in my situation and based on my history? I do appreciate my dentist being conservative but it really seems like it is my teeth. I have had several mouth x-rays in the last 3 months and now a CT scan and that worries me. Any opinions would be appreciated. I have had a number of x-rays including an abdominal/pelvic CT scan in previous years so I am concerned about any additional radiation exposure to my head if it is not necessary.

Last edited by almok; 03-04-2008 at 06:13 PM.

 
Sponsors Lightbulb
   
Old 03-04-2008, 06:06 PM   #2
Newbie
(female)
 
Join Date: Feb 2008
Location: Oklahoma City, OK, USA
Posts: 2
julz826 HB User
Re: Sinus evaluation for likely dental issue

[removed]The root canal should be only if you have cold and hot sensitivity. If it's just cold sensitivity then, it could be a number of things. Has any of the dentists you went to said anything about the tooth being cracked. If it is cracked, in my experience, it needs a crown; and possibly a root canal later. The CT, to me, sounds good, if they have ruled out root canal and/or cracked. Although, I was kind of experiencing the same thing and my doctors thought it was a continuous sinus infection. I finally, went to an ENT (Ears, Nose, and Throat) and discovered I had acid reflux and it was getting up in my sinuses at night causing me the pain with my teeth because the roots of your teeth are in or very close to your sinuses. I hope this helps.

[We ask members to not mention their professional affiliation, since this is a peer support group. Please read more about this and the other rules by clicking the "Posting Policy" above. Thanks - Well-come Moderator.]

Last edited by Well-come; 03-05-2008 at 07:59 PM.

 
Old 03-04-2008, 08:21 PM   #3
Junior Member
(male)
 
Join Date: May 2005
Posts: 19
almok HB User
Re: Sinus evaluation for likely dental issue

Quote:
Originally Posted by julz826 View Post
I work in the dental field. The root canal should be only if you have cold and hot sensitivity. If it's just cold sensitivity then, it could be a number of things. Has any of the dentists you went to said anything about the tooth being cracked. If it is cracked, in my experience, it needs a crown; and possibly a root canal later. The CT, to me, sounds good, if they have ruled out root canal and/or cracked. Although, I was kind of experiencing the same thing and my doctors thought it was a continuous sinus infection. I finally, went to an ENT (Ears, Nose, and Throat) and discovered I had acid reflux and it was getting up in my sinuses at night causing me the pain with my teeth because the roots of your teeth are in or very close to your sinuses. I hope this helps.
Thanks Julz826,

The x-ray did not show it was cracked but I wonder if I had trauma to the tooth when I had an amalgam removed a year earlier and a composite put in place. What kind of evaluation did you do with the ENT? Is it possible the tooth is dying slowly and it may take some time for it to be conculsive? My panoramic x-ray showed the tooth in question is sticking way into my sinus cavity but I guess this is normal for the most part. Thanks!

Alex

Last edited by almok; 03-04-2008 at 08:23 PM.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Abscessed tooth causing other (sinus, UTI) infections? sillygirl Sinus Problems 6 06-10-2010 03:31 AM
Right sinus pressure, ear "fluttering", ear/eye numbness Sverige Sinus Problems 5 07-15-2009 09:35 AM
TMJ evaluation bassclari TMJ Disorder -TemporoMandibular Joint 19 05-11-2009 09:41 PM
how do you know if it is sinus infection ear infection or tmj joann 66 Sinus Problems 13 04-03-2009 05:45 PM
Sinus Pain without congestion - HELP! ntumin Sinus Problems 30 08-15-2008 07:52 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 02:54 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!