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A couple of years ago, I wrote a post discussing sinus infections, prompted by my wife’s experience.
Sinuses are simply chambers in your head that allow air to circulate to get warm and moist before it travels down to  your lungs. However, when conditions are right, bacteria can grow out of control in the sinuses, causing a sinus infection. Before we get into a discussion on how teeth can cause sinus infections, we’ll talk about where the sinuses are located.
There are a few different sinuses located in the facial area — around the cheeks, nose, and above the eyes.
If you look at the diagram above and imagine a row of upper teeth, you can see how the roots of the upper teeth come into close contact with those sinuses on each side of the nose. Basically, that’s a fancy way of saying that tooth and gum abscesses of the upper back teeth can eat through the bone and invade the maxillary sinus. Below, you’ll find a couple of examples of how tooth infections or abscesses can cause sinus infections.
Here is an x-ray of a tooth that had a root canal and crown done previously, but the infection at the roots had never quite healed.
As you can imagine, the infection and the sinuses do overlap, as you can see in the x-ray below. Although it looks like the sinus and the infection are overlapped on the x-ray, it doesn’t necessarily mean that the infection has broken into the sinus and causing a sinus infection.
If you take a look at the x-ray above, you can see how close the maxillary sinus is to the upper teeth. Although this person wasn’t exhibiting any symptoms of a sinus infection, but the x-rays do a good job of showing just how close the abscess is to the sinus. This person had chronic sinusitis for the last few years, that started shortly after she had a metal post put into one of her upper back teeth. Sadly, due to the fracture in the tooth caused by the large metal post, the tooth had to be extracted. The oral surgeon who extracted the tooth told me that the tip of the tooth broke off just above the metal post, causing the root fragment to get pushed into the sinuses during extraction. While sinus infections can cause teeth to to hurt, hopefully this post has helped you see that infections from the upper back teeth can easily make their way into the sinuses and cause sinus infections. It is important to remember that unhealthy teeth are just one cause of sinus infections, and that there are several other causes. I have a question also I had a filling done on my bottom tooth an since that I been getting massive pain in my bottom right side of my jaw and the pain is leading up to my ear what should I do, The pain is leaving me with sleepless nights?? I have just gone through same thing for the last year dentist told me was not possible doctor took a long time to refer me I have since had ct scan and same thing root canal has gone through to sinus, good news I new what problem was bad news infection been going on so long now it has spread to all my 4 sinuses and in cheek bone need op asap but need to find dentist willing to fix the tooth as tooth and gums still very healthy.. The tooth has previously had a root canal and crown put on it about 5 years ago, what is the best way to treat this? Like stated sometimes it is very difficult to ascertain whether the abscess is really into the sinus. And of course we get a lot of false alarms too, where we have molars with no fillings with no signs of fractures and they say that their teeth are throbbing. I have had a problem with my sinuses ever since I had my teeth cleaned in Feb of this year. I went to the doctor and she put me on antibiotics over 5 times and they never cleared up the infection because I still have pain in one side of my nostril on the right side and my right ear hurts and I have swelling on the right side of my throat that feels like an infection. I have had pain in it ever since they drilled in it and whenever I drink cold or warm stuff the sensitivity is horrible. I had a really bad tooth infection in 2012 in one of my molars and a doctor tried to tell me it was a really bad sinus infection but this tooth caused me so much pain that my dentist said it could have killed me because my tooth had a hole inside of it and he said that I started developing bad swelling in my cheek. I hope I don’t have to have my front tooth removed I hope I can get a root canal done instead. Because usually when I get sinus or allergy problems its just from the summer or winter because of the seasonal allergy problems but nothing like I have had this year. Bacteria in your mouth can buildup and eventually cause a tooth infection,which in turn may spread to the sinus. Hi, I have a problem with one of my teeth that has had a root canal done then crowned then the root canal redone by a specialist then recrowned. American College of Physicians, PIER: Physicians Information and Education Resource web site. Jim Young, PhD, biostatistician, Basel Institute for Clinical Epidemiology, University Hospital Basel, Switzerland. Kuttisahib Road, Near Kothad Bridge South Chittoor P.O, Cheranelloor, Kochi - 682027, Kerala, India.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Garrett BennettSince some of the symptoms of a sinus infection are similar to other illnesses, people often misdiagnose themselves. I have had this problem ever since they worked on one of my front teeth that had a cavity in it. I think it is a teeth problem probably a sinus tooth infection and Im going to a dentist to maybe get a root canal in it because I cannot stand the pain anymore and the pain infects my ear and my other teeth. But before I had the tooth removed the doctor that I saw gave me amoxicillan so at least that helped my swelling but very little until I had my tooth removed.
I’d just rather get dentures if I could do anything then maybe I wouldn’t have these sinus problems?

It is now July 30 I’m in so much pain,I went to the dentist for a cleaning and x-rays in July of 2014 and was told I had 10 cavities! The first maxillary molar,s one of the largest and strongest teeth in the upper jaw is usually the culprit because of its proximity to the maxillary sinus.The mucus must move upwards to drain from the sinus into the nose,which does not happen when standing up and thus the sinus gets infected more frequently than the other air cavities. Josephson, MD, director, New York Nasal and Sinus Center and author, Sinus Relief Now, Perigee Trade, December 2006. It is intended for general informational purposes only and does not address individual circumstances. Can it be sinusitis?Sinus is the free spaced cavity in the skull over the eyes and the nose. I believe I caught the flu bug that’s been going around, so I’ve been drinking this Ginger Turmeric tea and wanted to share it with you guys! Ginger has antibiotic effects and can help digestion, detoxification, infections, inflammation, joint pain, circulation, nausea and motion sickness. Busse, MD, Assistant Professor of Medicine, Division of Clinical Immunology, Mount Sinai School of Medicine, New York, NY, Review provided by VeriMed Healthcare Network. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. In fact, a sinus infection is frequently thought to be no more than a common cold a€” that is a€” until it becomes quite uncomfortable and painful. The problem seems to occur when I get a cold, with pressure build up and a bad smell coming from around the top of the crown. Use all you have in your hygiene-arsenal if you have a bridge (or a crown that traps food) – special floss-holders for bridge wearers, waterpik, mouthwash, thin-bristled toothbrush! It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Sinusitis is triggered when the surface layer of the nose becomes dilated and the Ostium (small opening) is obstructed.Onset A Sinus infection usually happens due to common cold or an allergy.
Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. You may have a common complaint that sends many people to a doctor's office: sinus trouble.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site.
It’s known to cleanse the whole body, especially the liver.It can be used to support digestion, treat fever, inflammation and infections. I went to a family doctor and she told me that everything was altight and i had probably sinus and it was nothing she can do. What Are Sinuses?What Are Sinuses?They’re air spaces in your skull lined with mucous membranes. Pairing turmeric and black pepper helps to enhance the curcumin in turmeric by a thousand times, increasing its effectiveness. Although it is also the foremost symptom of a cold, the symptoms of a sinus infection generally last longer.Yellow or green mucusInstead of clear mucus, there is a colored discharge from the nose or throat. Last year i was experiencing a similar pain, and i have a root canal in one of my left teeth.
Tiny, hair-like structures called cilia (magnified here) move mucus across sinus membranes and toward an exit.
However, nasal decongestants may have a rebound effect that makes your nose even more congested if you use them for more than 3 - 5 days. This mucous discoloration is caused by white blood cells fighting the infection.Partial loss of your sense of smell or tasteAlthough you can still detect when foods are sweet or salty, more subtle tastes and smells are difficult to distinguish. So, when you have a sinus infection, ita€™s not the best time to splurge on a very fine, expensive dinner.Pain and pressure on your faceThe accumulation of mucus when you have a sinus infection results in increased pressure on your nerves.
Just a Cold … at FirstSinusitis usually starts with inflammation triggered by a cold, allergy attack, or irritant. In contrast, oral decongestants will not lead to rebound congestion and their effect typically lasts longer than nasal decongestants.
Since the sinuses are cavities behind the forehead, nasal bones, cheeks, and eyes, these areas experience pain as well as a a€?heavya€? feeling.A cough with phlegmCoughing up phlegm a€” which usually gets worse at night and in the morning a€” is one of the key symptoms of a sinus infection.
The downside to oral decongestants is that they have a slower onset to take effect. Individuals who are pregnant or breast-feeding and those with heart problems or high blood pressure should avoid decongestants.
This unpleasant odor is the result of the organisms that are the cause of the infection.Tooth painAlthough your teeth seem to hurt when you have a sinus infection, this sensation isna€™t caused by a dental problem. How It FeelsMost people have a stuffy nose and pain or pressure in several areas around the face or teeth.
Talk with your doctor if you are not certain if you should take a decongestant. *Keep in mind that one medication may contain several different ingredients, and another medication may only contain one ingredient but may relieve symptoms of several different health conditions.
The pressure that builds up in the head only makes it feel that way.Loss of balanceInflammation of the sinus membranes disturbs the sense of balance.
When you move your head forward, the inflamed membranes and mucus make your head feel heavier. You may also have fatigue, trouble with sense of smell or taste, cough, sore throat, bad breath, headache, pain when you bend forward, and fever. In addition, the Food and Drug Administration (FDA) now requires medications containing pseudephedrine to be sold from behind your pharmacist's counter because this decongestant is a key ingredient in the production of the illegal stimulant drug methamphetamine. This changes the way your brain perceives the head position, and makes you feel off balance. When It Won't Go AwayInflammation of the sinuses that lasts for more than 3 months is chronic sinusitis.

In an effort to have their products continue to be sold OTC, many drug manufacturers have replaced this ingredient with phenylephrine. CoughWhat is your cough like? The unequal swelling also throws off your balance.HeadachesClogged sinuses and the resulting swelling and pressure may produce headaches. Anatomy, allergies, polyps, immune system problems, and dental diseases may also be to blame.
A nonproductive cough is a dry cough with no mucus. You might not want to stifle a productive cough, so that some of the mucus in the lower respiratory tract can be coughed up.
If you have a productive cough, use an expectorant, such as Guaifenesin (Robitussin), and drink plenty of water. Nasal DecongestantsThese sprays open swollen nasal passages and allow your sinuses to drain.
Contact your doctor if any of the mucus is green or yellow or contains blood. Nonproductive coughs might be relieved by an antitussive. Cough medicines with the initials DM have dextromethorphan in the ingredients, such as Robitussin DM.
Bennett has been recognized as a Top Doctor in the RealSelf peer voted community.Castle Connolly Top Doctor 2016Dr. Antitussives are also included in throat lozenges. You should also note whether your cough medicine is indicated for day or night time use. According to the FDA report, "DXM abuse, though not a new phenomenon, has developed into a disturbing new trend which involves the sale of pure DXM in powdered form.
Despite their presence in many OTC cold medications, they serve no function for the common cold. Antihistamines work by blocking the release of histamines into the body, but cold symptoms are caused by a virus, not by histamine release. Treating Allergy-Related SinusitisHave you tried irrigation with saline solution, either with a neti pot or squeeze bottle? The antihistamines actually block the flow of mucus from the nose, the same mucus that is ridding the body of the virus.
Studies have shown that antihistamines have little or no benefit in the relief of cold symptoms. Remember that most antihistamines cause drowsiness and should be avoided when you must remain alert.
Antihistamines could also come in handy, especially if you’re sneezing and have a runny nose. In addition, do not take antihistamines if you have emphysema, bronchitis, glaucoma, difficulty in urination or are taking sedatives or tranquilizers, unless recommended by your doctor. FeverThe best medicine to take to reduce a fever is one that contains an antipyretic.
But if you keep feeling worse, your symptoms last and are severe, or if you get a fever, it's time to see a doctor. Acetaminophen is typically given to children with a fever, if medicine is needed. HeadacheThe most effective medicine to take to relieve headache pain is one containing an analgesic. Will You Need Sinus Surgery?An operation called FESS (functional endoscopic sinus surgery) can bring some relief, if nothing else works.
But start with the simplest solution: Avoid things that irritate your sinuses, and then work with your doctor to see if medicines help.
In addition, Excedrin Migraine has been approved by the FDA to relieve migraine headache pain, including severe pain and other symptoms associated with the full migraine syndrome. HoarsenessThere is no true drug treatment for hoarseness. Drinking tea or sucking on a throat lozenge (such as Chloraseptic or Sucrets) or hard candy also helps by keeping the throat wet. Analgesic drugs will ease the pain of hoarseness.
It’s not likely, but if a sinus infection passes through the bone, it can infect the lining of the brain or the brain itself. It’s also uncommon, but a sinus infection could spread into the eye socket, causing an infection that could cause blindness. Less severe complications include asthma attacks and loss of smell or taste, which are usually temporary.
Some of the most common OTC antihistamines include diphenhydramine (Benadryl), chlorpheniramine (Chlortrimeton), clemastine (Tavist), and loratadine (Claritin). Remember that many antihistamines cause drowsiness, and they should be avoided when you must remain alert. Loratadine (Claritin, Alavert) and cetirizine (Zyrtec) are OTC antihistamines that are long-acting and considered non-sedating. In addition, do not take antihistamines if you have emphysema, bronchitis, glaucoma, difficulty in urination or are taking sedatives or tranquilizers, unless recommended by your doctor. SneezingWhen sneezing is caused by an allergy, antihistamines should be taken. The three most common shoring-acting OTC antihistamines are diphenhydramine (Benadryl), chlorpheniramine (Chlortrimeton), and clemastine (Tavist). When sneezing is caused by a cold, antihistamines are not recommended.
Studies have shown that antihistamines have little or no benefit in the relief of cold symptoms. Sore throatThroat lozenges (such as Chloraseptic or Sucrets) are effective in treating sore throat pain. One ingredient is an anesthetic (benzocaine, benzyl alcohol) and produces a numbing effect on the throat. Unfortunately, you are finished sucking on the lozenge, sore throat symptoms usually resume.
Hard candy may also temporarily relieve sore throat pain. When a sore throat is caused by a nonproductive (dry) cough, you may want to use an antitussive to stop the coughing. Dextromethorphan, however, has the potential to be abused. ReferenceUS Food and Drug Administration.

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