Sinus pain in teeth and gums,tinnitus and allergies treatment temporadas,tenis nike mercurial victory 3 ic giarre,diseases of ear nose and throat by dhingra pdf - For Begninners

Author: admin, 14.09.2013
Generally speaking, pain is a protective response that ranges from minor sensitivity to severe pain and informs the body that something is wrong. Possible problem: If discomfort lasts only moments, sensitivity generally does not signal a serious problem. What to do: If a root surface is sensitive, keep it clean and free of dental bacterial plaque. Possible problem: Dental work may result in tooth sensitivity due to inflammation of the pulp tissues inside a tooth.
What to do: See your dentist or endodontist to diagnose the problem before the pain becomes severe due to the development of an abscess. Possible problem: Pain felt in the sinus area of the face is often associated with the upper back teeth because they share the same nerves. Symptom: Acute and constant pain from an area, but difficult to say exactly which tooth is causing the problem. Note in the above examples, possible problems and solutions are suggested — but they only provide possible guidelines. We will provide you with information that is accurate, authoritative, and trustworthy on all aspects of dentistry. The sinuses are naturally occurring, air-filled spaces that connect to the nasal cavity (inside area of the nose). Sinusitis the term given when there is inflammation of these spaces.
With sinusitis, the pain is often made worse by nodding your head up and down or, for example, going up and down stairs. If you have a history of getting this problem in the past, this may help with the diagnosis. If you attend the dentist, he can check the teeth to rule out them out as the source of pain.
Long-term (chronic) infections may require further treatment including surgery if there is a blockage or a source of infection present in the space. The maxillary sinus is a hollow space under the cheek bones, which serves to lighten the skull, while providing a bony framework for attachment of the facial soft tissues. Although most sinus issues are due to viruses and allergens (dust, pollen, etc.), these conditions produce inflammation (sinusitis), which causes fluid to accumulate in the sinus. The teeth are generally not abnormally sensitive to temperature changes, but may be tender to percussion (tapping on them). If teeth are involved, it is not uncommon for medications to produce temporary relief, only to have the symptoms return weeks or months later.
The following articles are intended to provide you with background information on the topic. A sinus infection can be caused by several agents for example allergies, chemical irritant or an infected maxillary tooth. Dental pain differs from sinus pain and generally it is escorted by tooth or gum disease, which is usually referred to as gingivitis. Nasal congestion, headache, discharge in the back of the throat, fever, tooth pain and fatigue all are the symptoms related with sinus tooth pain. Also, the sinus fills up with liquid during a sinus infection and causes the sinus cavity to appear white and murky in a peri-apical x-ray. As allergy is one of the causes of sinus tooth pain, take your allergy medications if you have allergies. Strong immune system help to prevent sinus tooth pain so keep your immune system in good shape.
Avoid contact with people who have upper-respiratory infections, if you are prone to toothaches from sinus troubles. If you have already a sinus infection or experience your teeth or jaws starting to throb, then take steps instantly to stop pain near the maxillary sinus. Sinus infections and irritation of the maxillary cavities may draw you toward grinding of teeth. Sinus tooth pain treatment consists of two tactics: fighting the infection and soothing the pain. You can take some medications such as antibiotics like amoxicillin that will help you to fight the infection. I am beside myself with tooth pain in the upper and lower back teeth on the right side of my face.. Last week I received an e-mail from a friend who lives abroad and that I haven’t seen for a long time.
This combined with the fact that winter is a time for colds and flu prompted me to post some thoughts on sinus headaches. Notwithstanding the above e-mail, the fact is that whereby many people believe that their head pain is due to sinus `infections`(and may even have been told this by their GP) the reality is they often have migraine with associated nasal congestion. It is also worth noting that on many occasions I have had patients in the clinic believing they have sinus headache when in fact there are suffering from some other type of head pain such as so-called `tension type` headache. Indeed you may also be surprised to hear that as yet research has failed to show a strong association between recurrent low grade sinus problems and frequent headaches. Unfortunately there are few tests that will absolutely confirm, or alternatively rule out, the diagnosis of sinus headache. If you think you suffer from `thunderclap` type headaches you should ALWAYS consult your GP or headache specialist. As for tooth pain, it is caused by a reaction of the nerves inside a tooth's pulp chamber with the severity dependent upon the type and degree of the stimulus.
It may be caused by; a small area of decay in a tooth, a loose filling or an exposed root surface resulting from gum recession and possibly toothbrush abrasion. Use a soft toothbrush, cleaning very gently at the gum line, and brush no more than twice daily.
The tooth will likely need root canal treatment to remove the dying or dead pulp tissue to save the tooth.


Once the problematic tooth is isolated, a root canal treatment to remove the infected pulp tissue will bring relief while saving the tooth.
In all cases of tooth or jaw pain or discomfort in and around the teeth and jaws, see your dentist as soon as possible for a proper evaluation and treatment.
If several upper back teeth are tender when the dentist taps them, this can point to sinusitis as the cause of pain. It can often lead to confusion in those that suffer with it, as it can manifest as toothache.
Sagittal view of the maxillary sinus showing the proximity of the roots of the maxillary teeth Figure 2.
The chronic presence of fluid in the sinus produces an environment conducive to bacterial colony formation. The sinus cavity is present at the very top of the roof of the mouth and when the sinuses swell due to infection or irritation, they can press on the roof of the mouth that causes pain in the nerves of the teeth. When the roots of the upper back teeth named the maxillary molars extend into the maxillary sinus cavity, a sinus infection tooth ache can take place. The pressure builds up in the maxillary sinuses leads to tooth pain in the upper back teeth. An individual can also experience tenderness on both sides of the face or pressure under the eyes.
In an x-ray, a normal sinus looks black so the white color sinus indicates that there is sinus problem. For building string immune system, get enough rest, take vitamins, and exercise on a regular basis.
A moist heat pad or warm gel pack should also keep throbbing to a minimum so place this pack on the sensitive area. Consult your doctor for grinding of your teeth or clenching your jaw due to a temporomandibular joint (TMJ) disorder. I have worn partial plates for ions and this past month I have had to have new ones made,, they seem to fit great but for some reason I’m experiencing dreadful tooth pain and sore throat for the past 2 weeks. That is to say the nasal congestion is the result of, rather than a cause of, the head pain. In addition it is important to remember that dental problems may also refer pain into the sinuses. Interestingly frequent use of nasal decongestants very occasionally cause a type of headache which is characterised by very sudden attacks of severe head pain (and sometimes associated symptoms of dizziness, visual disturbance, and others) the medical name for this is Reversible Cerebral Vasoconstriction Syndrome and is one of the causes of so-called `thunderclap`headaches.
I have just forwarded this onto a friend who has been conducting a little homework on this.
Over-the-counter medications like acetaminophen and ibuprofen will help minimize symptoms until you are treated. Your dentist may refer you to an endodontist for diagnosis and treatment, especially if the issue is related to a root canal problem. The spaces can also become inflamed as a result of allergies and obstructions to fluid flow within them. If the problem is actually from a tooth then there will be no improvement after a few days. Periapical radiograph of maxillary teeth and sinus floor There are 7 sinuses (air-filled cavities) in the head. The roots of bicuspid tooth (#4) and molar tooth (#3) are evident projecting up and into the floor of the sinus.
In a live patient, the sinus floor is lined with a membranous lining called the Schneiderian membrane.
Because of this, the nerves which provide the upper back teeth with sensation may detect pressure changes that occur in the sinus. There is generally an underlying cause for a toothache, such as a crack, an abscess, or tooth decay (caries).
This type of sinus infection leads to pain in the teeth and pain or tenderness, below the eye and cheekbone. As the pain is associated to either gum or tooth disease, dental pain can affect any of your teeth. You can also take some over the counter analgesics like acetaminophen, ibuprofen or aspirin that will help you to relieve tooth pain. A TMJ mouth guard or muscle relaxant may be prescribed by your doctor for sinus tooth pain.
You can even try using toothpaste like an ointment, rubbing it into the root surface for ten minutes or so at a time.
A cracked tooth may be difficult to treat not only if it involves the pulp, but also depending on the location and depth of the crack. And if your pain has a medical component, your dentist or endodontist will refer you to a physician. Inflammation associated with a sinus infection can cause pain, caused by a build-up of pressure.
Anti-allergy medicines (anti-histamines) may be prescribed if there is a suspected allergy at play. They include the maxillary, ethmoid, mastoid, sphenoid, and frontal sinuses (the frontal sinuse is the only sinuse that is not bilateral).1 Sinusitis, an inflammation of the sinuses, is a common problem affecting almost all people at some point in their lives.
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Changes in altitude and fluid in the sinuses from allergies and infections can apply pressure to the nerves, causing pain.
Vital testing involves testing a tooth's response to hot, cold and mild electrical stimuli. Muscle pain (myalgia) and neurological pain (neuralgia) can also mimic some of the symptoms of sinus pain.


Along with tooth pain, sinus infection can also cause headache or pressure in the eyes, nose, cheek area, or on one side of the head. Any outstanding dental conditions, for example cracks or cavities in the teeth, may be more noticeable when your sinuses are infected.
Additionally it's also important to determine if clenching or grinding is a factor, as they too cause similar symptoms.
It can be very difficult for your brain to tell the difference between a sinus headache and toothache! This is important from a dental perspective, because sinus infections can be misdiagnosed as a tooth abscess (and vice versa).
A person having a sinus infection may suffer from a cough, fever, bad breath, and nasal congestion with thick nasal secretions. Tooth pain is most frequently felt along the top row of teeth and causes swelling of the palate. Grinding your teeth (a condition called bruxism) can also cause a dull ache in the upper jaw because of pressure on the temporomandibular joint (the TMJ). If you are feeling pain in several teeth, rather than one tooth, then it is likely the pain related with a sinus infection. You can also consult your medical doctor to determine if the pain is related to a sinus infection. Depending on the onset of time, sinus infection is categorized as acute (sudden onset) or chronic (long term, the most common type).
Though a sinus infection and toothache has close relationship, there are ways that determine if the pain is sinus related or dental related. Drink plenty of fluids throughout the day that will also serve to keep your nasal passages clear.
The links are intended only as a means of ToothIQ users to learn more about topics related to dental diagnoses and procedures.
Steps to evaluate sinus pain versus tooth pain History of previous episodes of sinusitis Clinical exam; palpation of maxillary bone over the sinuses and evaluation of the teeth to identify a possible dental origin Radiographs, including periapical and possibly panographic x-rays Vitality testing of the tooth, including electric pulp testing, ice, heat, and percussion Rule out sinusitis by treating the pain with a drug regime effective in treating sinusitis When attempting to make a diagnosis of pain in the maxillary posterior region, the dentist must first rule out a problem of dental origin.
The differentiation of odontogenic pain from sinus pain includes consideration of the history of the pain and whether the patient has a history of sinusitis10 (Table 1).
A radiograph commonly used by physicians and oral maxillofacial surgeons to diagnose sinusitis is a Water’s view, an anterior-posterior radiograph.
An increased fluid level in the sinus may indicate an infection.12 This will help determine the status of the tooth and the proximity of the roots of the maxillary posterior teeth to the sinus (Figure 2).
The clinical evaluation consists of palpation over the sinus and an examination of the teeth, including assessment of tooth vitality. These include the absence of pathology on the dental radiographs, close proximity of the floor of the maxillary sinus to the roots of the maxillary teeth (Figure 2), and a patient complaint of pain originating from several teeth.10 Certainly, if the patient complains of sinus pain—especially bilateral pain—as well as tooth pain, then the clinician should be suspicious that the sinus is the source of the pain. Typical signs and symptoms of sinusitis are tenderness over the sinuses, nasal congestion, nasal discharge with a foul odor, fever, headache, and dental pain (Table 2).2,13 Table 2. Common signs and symptoms of sinusitis Tenderness over the sinuses Nasal congestion Headache Foul odor Nasal discharge Fever Dental pain It is certainly possible that an infected tooth can cause a sinusitis. A tooth that is in the area of complaint may also be sensitive to percussion or test negative when vitality is evaluated. It should be noted that there are a variety of sources of pain in the maxillary posterior region. Depending on the presentation and the results of the clinical and radiographic evaluation, all should be considered. It is beyond the scope of this paper to discuss these other sources of pain. TREATMENT Table 3. Possible sources of pain in the maxillary area TMJ disorders Odontogenic (endodontic, periodontal, tooth fracture) Sinusitis Bruxism Temporal arteritis Pathology If the dentist suspects acute sinusitis (duration of less than 4 weeks6) as the source of a patient’s dental pain, the dentist can either refer the patient to a physician to manage the sinusitis or can treat the sinusitis with the intention of ruling out that problem as the source of the dental pain. If there are clear indications of sinusitis, the option of referring the patient to a physician may be preferred. Sinusitis causing tooth pain versus sinusitis without tooth pain may seem to be a minor distinction (ie, both situations would use the same medications), but the distinction is important.
This paper focuses only on the treatment of acute sinusitis. If the dentist decides to treat the sinusitis to rule this infection out as the source of the dental pain, then knowledge of the different medications used to treat sinus infections is essential.
The treatment of a sinus infection depends on the source of the infection and whether it is acute or chronic.
Prescriptions for use in treating sinusitis to rule out a dental infection Decongestants Rx: Sudafed, 60 mg Disp.
2 sprays in each nostril 3x a day Antibiotics Rx: Amoxicillin, 500 mg Disp. 1 tablet 4x a day OR Rx: Augmentin, 875 mg Disp.
Antihistamines are of benefit if there is an allergic component.2 The other concern when treating sinusitis is management of the infection with antibiotics.
If the patient is experiencing dental pain in the maxillary posterior teeth, then it is appropriate for the dentist to rule out sinusitis as a source of the problem before proceeding with definitive dental treatment.
Often there is an obvious odontogenic source of the pain, and this should be resolved first, but in other situations it is difficult to determine the cause of the symptoms.
In some patients, the source of the pain is so equivocal that it may be necessary to treat the patient for sinusitis to eliminate this as the source of the dental pain (Table 7). In this process, the dentist has one of 2 options: either refer the patient to a physician or treat the sinusitis.
The option chosen regarding patient management is made by the dentist and depends on the particular clinical situation and the dentist’s training and experience.



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