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MedHelp Member's Question

Tooth in left sinus cavity

by matthew83, Oct 07, 2006 12:00AM
I wake up daily with left side of face swollen with very thick mucus that I have a very hard time bringing down causing a strain on neck muscles and at times left eye twitching & a great deal of pressure on my left ear. I have a tooth/bone,in the left side of my sinuse,doctors can't quite agree on what it is however, all say it should not be removed. I'm 46 year old female that is very healthy but this problem occupies my entire thinking and leaves me in a constant fog.I drink constantly, massage my neck,face, used every nasal spray, allergy medication, rinse my mouth out to get rid of the bad taste and odor. I've been on allergy drops for Dust Mites & Ragweed for 6 months but have not noticed a difference. I'm pretty desperate for some help, I wake up the family every morning with my constant caughing. The tooth can be felt in my cheeck by not visible to the eye. The right side of my face feels great and if I can shut down the letft, I would be perfectly healthy.



Thanks for any help in advance!

Member Comments (5)

by PlateletGal, Oct 07, 2006 12:00AM
To: matthew83


I don't understand why they can't do surgery and remove this tooth? You shouldn't have to wake up every single day like this! How many dentists have you spoken with and have you seen an ENT or plastic surgeon?

by Demiguise, Oct 07, 2006 12:00AM
To: matt
I don't know if any pain is radiating up to temple or over to

nose or just feeling of pressure. A DDS wouldn't remove a good

tooth unless they're sure thast's the problem. My suggestion,

run/yell/plead for a 'Coronal CT' ASAP by your reg Dr but best

from ENT. What you are describing is unilateral & most likely

an overlooked problem of the maxillary sinus (infection/polyp/

cyst. Get the CT & copy of the report. Post findings & we'll

try to help. There is a very rare condition that goes un-dx'd

for yrs do to ENT not having knowledge or a routine-rut! Most

likely you have one condition I mentioned but the keyword here

is unilateral w/ the thick sinus drain. The maxilla nerve can

stimulate the back teeth making you think it's the tooth.

You're caught in the 'not me' Dr's code possibly. The face swell

is another hint. Please do fol-up. Post any reports you may have

from ENT. Tou are allowed copies & also can ck-out films a few

weeks. This sounds like someone doesn't want this problem in

their lap. Sadly, this goes on like musical chairs more often

than spoken or known.

by matthew83, Nov 24, 2006 12:00AM
I had a CT Scan and here are the findings.

There is mild mucosal thickening in the region of the right & left

maxillary infundibulum. The osteomeatal complexes remain patient. The frontal & sphenoid sinuses are clear. There is minimal mucosal thickening within the ethmoid sinuses bilaterally. There is slight nasal septal deviation to the left. No concha bullosa is noted.

There is 20mm x 6 mm x 6mm bony density within the inferior & medial aspect of the left maxillary sinus. It extends into the left maxillary. The findings are compatable with an unerupted tooth.

No air/fluid levels are noted within the sinuses. The mastoid air cells are clear.  

I'm more miserable than ever and don't know what to do?

by Valorie555, Mar 08, 2008 07:05PM
To: matthew
I am a 42 year old female who suffered with severe sinus infection primarily in the left sinus for the last 15 years.  During bouts with sinus infection, i would suffer severe tooth aches on the left side of my mouth with severe facial pain, cheek pain and head pain.  The sinus infection was so severe that the back of my tongue and the roof of my mouth would hurt badly.  Normally, when prescribed antibiotics by my physician, all of the infection and pain would subside until the next bout.  I would encounter sinus infection 2-3 times a year.  However, this year approximately, I encountered a severe bout of sinus infection approximately 4 weeks ago and was rushed to the emergency room after normal business hours with the usual severe symptoms, including a severe tooth ache in my left upper rear tooth (second from the rear).  The pain was so great that 5 additional teeth (all on the left side of my mouth ached badly.  Well the antibiotics cured the infection and stopped all pain as it usually did, but this time the pain in my teeth persisted and increased to the point that I had to make an emergency appointment with the dentist.  The dentist took x-rays of my teeth and I advised him that I had just had a severe bout with sinus infection.  The Dentist reviewed my x-rays and advised me that I had severe infection in the upper left tooth (second from rear).  He stated that the roots of the tooth were connected to my sinus cavity and were causing my sinus infection.  That was the cause for the tooth infection and sinus infection.  He advised me that the tooth needed to be extracted in order to rid the recurring infection.  He noticed through the x-ray that my prior dentist (15 years ago) had performed a root canal on this same tooth.   instead of removing the tooth. He stated that the prior dentist probably did not remove the tooth because the roots were embedded within my sinus cavity and he opted to perform the root canal instead.  The dentist even had me sign a document advising me that the tooth extraction was being conducted on a sinus cavity tooth and upon removal may cause the patient to experience a sinus infection.  Well the tooth was extracted and all pain from sinus and tooth has stopped.  My sinus infection used to be so severe that I consistently had dark circles under my eyes, the dark circle under my left eye was very pronounced.  Approximately, two weeks after the sinus tooth was extracted, the dark circles that I kept for years disappeared.  I cannot tell you how relieved I am.  And to thi