Problems with teeth are familiar to most people firsthand, but few people know that there is such a disease as odontogenic sinusitis.
Sometimes it is extremely difficult to diagnose, since the prerequisites for its occurrence can be detected only with the help of modern equipment or during surgical dental procedures.
Therefore, it is very important to understand what this pathology is and how to suspect its presence in order to immediately contact the right specialist. Indeed, according to statistics, almost 5–12% of it has a dental origin.
Odontogenic sinusitis photo: description of the disease
Often, patients are faced with the question, can there be sinusitis from a sick tooth? And, indeed, at first glance, the connection between the oral and nasal cavity is absent.
But it is not. Roots of molars,
Therefore, the defeat of their caries can provoke the spread of the inflammatory process from the root to the maxillary sinus and cause the occurrence of the disease. Quite often there are injuries of the jaw, sealing, removal and subsequent installation of the pins, which, if there are certain anatomical features or low qualification of the dentist, can provoke the penetration of foreign bodies into the sinus.
This in itself adversely affects its functioning, and if the mucous membrane is damaged by sharp ends, it provokes a prolonged and severe course of the inflammatory process.
In such situations, there is talk about the presence of odontogenic sinusitis. The classification of the pathology is quite simple. Depending on the duration of the inflammatory process and the severity of its symptoms, there are acute and chronic stages, in the latter case, the disease is periodically exacerbated and takes on features of an acute form. According to ICD 10, it received a code
Depending on the localization of the inflammatory process are distinguished:
- left side;
- bilateral sinusitis.
Although the development of pathology from a sore tooth initially initially affects only one of the halves of the nose.
In the absence of timely full-fledged treatment, the infection gradually spreads also to the second side, and the process becomes bilateral.
What is the connection between teeth and sinusitis? Causes of inflammation
Sinusitis due to a tooth can occur when:
- caries of the upper molars (molars) arising from improper care of the oral cavity;
- removal of molars of the upper row, because during the manipulation of root particles can penetrate into the sinus or between it and the dental hole a fistula (channel) is formed, through which the infection is able to penetrate from the mouth into the nose, therefore sinusitis after tooth extraction is not uncommon;
- proliferation of cysts of the upper jaw.
If a foreign body enters the maxillary sinus, this can also be the basis for the development of the disease. For example, a filling in the maxillary sinus often provokes the onset of acute inflammation.
Whatever the causes of the disease, it manifests itself in the same way:
- deterioration of smell, up to its complete loss;
- severe nasal congestion;
- headaches and weakness;
- fever and chills;
- severe pain when pressing on areas of the face above the maxillary sinuses and when the head is tilted forward;
- the teeth, provoking an inflammatory process, whine, and when tapping on them, a sharp pain appears.
Symptoms of the disease are most pronounced with its exacerbation, especially with a purulent form. When the inflammation process subsides, they remain, but their intensity can be quite low, which causes difficulties in diagnosis. A source:
Nevertheless, the constant presence of the source of infection in the roots and in the sinus causes pain in the teeth during sinusitis even in the remission stage. Therefore, patients are often often painful to bite solid food, even against the background of apparent absolute health.
Also from the nose with pus can stand out the liquid food that a person eats. This is only present in an upright position and is a sign of fistula formation.
Diagnosis: which doctor to go?
An otolaryngologist is involved in treating sinusitis, but if teeth are the cause of its development, then only an experienced dental surgeon can solve the problem.
As a rule, it is not difficult to diagnose the pathology itself, and to establish its odontogenic origin allows a well-composed medical history, but in a number of situations this can only be achieved after several years or even more.
A typical symptom is a toothache with sinusitis odontogenic origin.
To confirm the diagnosis, a dental examination is certainly carried out and is appointed:
- X-ray examination of the oral cavity;
- diaphanoscopy (assessment of transparency of the maxillary sinus when a special light bulb is inserted into the patient’s mouth);
- puncture of the affected sinus;
- MRI (magnetic resonance imaging);
- CT (computed tomography).
When a chronic sinusitis is diagnosed from a diseased tooth, the doctor decides what to do, based on the patient’s condition. The nature of therapy is determined by the cause of its occurrence.
In any case, all patients are prescribed treatment with antibiotics, which are selected strictly on an individual basis, the elimination of caries and other dental disorders. Often, tooth removal is required to eliminate the problem.
Today, such an operation is performed mainly under local anesthesia, and access to the affected area is formed through the gum (where there was a tooth root), so that there are no visible traces of interference on the patient’s face.
Surgical treatment is shown with access through the gums and when a cyst is formed in the maxillary sinus from the tooth, which is a cavity filled with fluid and squeezing the surrounding tissues. The operation is performed in the same way if osteomyelitis is present, periostitis, etc.
In severe neglected situations, not only the elimination of a foreign body or a neoplasm is necessary, but also an maxillary sinusitis. The operation involves aspiration (suction) of the sinus contents, elimination of the affected mucous areas, stitching of the fistula (if there was one), closing its stroke with a flap taken from the inner surface of the cheek, and expanding the sinus lead. Manipulation is performed using endoscopic equipment, usually introduced through the nose. This allows you to radically eliminate the source of infection and to avoid the formation of disfiguring scars and scars.
Whatever way the therapy is carried out, after surgery, patients are prescribed:
- a course of antibiotic therapy with broad-spectrum drugs (Augmentin, Amoxiclav, Lincomycin, Sumamed, Flemoxin Soluteb, Clarithromycin, Panklav, Ciprofloxacin, Macropen, etc.);
- regular washing of the nasal cavity with saline solutions (saline, Dolphin, Aquamaris, Physiomer, No-salt, Marimer, Aqualor and
If the disease first manifested itself during pregnancy, it may be decided to postpone aggressive therapy until delivery.
Until this time, women are often prescribed physical therapy, in particular, UHF, Solux, and
Sometimes, future moms are recommended to have a puncture (puncture), designed to temporarily relieve the condition. Also, this widely known method is used for chronic purulent sinusitis of any origin.
At home, to fight the disease can be extremely dangerous not only for health, but also for human life. Since the disease often occurs in a purulent form, it can cause severe complications, up to sepsis and brain damage.
Therefore, all patients are assigned sanation in one way or another, the choice of which depends on the degree of neglect of the disease and the patient’s condition. In the postoperative period, on the recommendation of the doctor, you can use:
- washing with decoctions and infusions of medicinal herbs;
- an infusion of propolis, bay leaf and
Sealing material in the maxillary sinus: the consequences
If after treatment of caries in the sinus was filling material, it can become a source of chronic infection. Initially, it causes discomfort, patients complain about:
- nagging pains, especially when bending down, making it difficult to sleep and get enough sleep;
- unpleasant feelings while chewing food;
- the presence of purulent mucous discharge;
- loss of appetite, weakness.
Thus, there is sinusitis, which subsequently becomes chronic. A cyst of the maxillary sinus can also form, osteoperiosteitis (inflammation of the bones of the skull). Therefore, the removal of the filling material from the maxillary sinus is mandatory. This can be done with the help of an endoscope through the nasal passage or by inserting instruments through a puncture in the gum over an unsuccessfully sealed tooth.
What can be complications?
Tooth antritis no less than other forms of its dangerous complications. He is able to provoke development:
- cellulitis (inflammation of the orbit);
- abscesses, including in the brain;
Nevertheless, one of the main complications is perforation of the sinus wall, as a result of which food, drinks and
A chronic focus of infection is formed, which explains why teeth with sore throat ache and nothing helps to cope with it for many years in a row.
In such situations, there is a discharge of mucus after eating, and liquid food or drinks can flow through the nose. This significantly reduces the patient’s quality of life and makes him refuse to visit crowded places, such as restaurants, bars, cafes. [Ads-pc-1]
The main prevention of the disease is the quality care of the oral cavity and the strengthening of the immune system. Therefore, it is recommended to all:
- visit the dentist at least 2 times a year;
- brush teeth twice a day;
- do not neglect the use of special rinses and floss (thread);
- If any dental problems are identified, immediately address them.
Questions to the doctor
How to remove a toothache for sinus?
For the relief of pain syndrome, NSAIDs are suitable: Nimes, Nise, Panadol, Imet, Nurofen, Aponil, Nimesic, and others. If these medicines do not help, you can take Ketanov or Ketolong and be sure to sign up with a doctor so that he can find the best way to eliminate the pain or make changes in the nature of the therapy.
What teeth hurt?
As a rule, the first (4-ki) and second (5-k) molars become the cause of inflammation, less often the wisdom teeth (6-ki) and canines. But sometimes pain radiates, that is, gives to the teeth, located on the opposite side from the patient’s side, and other areas of the face.
Is it possible to remove a tooth when sinusitis?
Definitely need to carry out the procedure only if it is reliably proved that the tooth was the cause of sinusitis. Otherwise, it is worthwhile to wait until the acute process subsides and the general state is normalized.
Sinusitis after implantation
The establishment of pins sometimes leads to sinusitis due to damage to the wall of the sinus. In such cases, the patient is directed to x-rays and determine the further tactics of treatment depending on the violations found.
Sinusitis after removal of the upper tooth
Damage to the sinus may occur due to the inaccurate work of the dentist or due to the individual characteristics of the patient.
During the procedure, pieces of the root can break off and damage or penetrate the wall of the sinus. They must be removed. This will radically solve the problem and completely get rid of the disease.
Root of the tooth in the maxillary sinus: Is it dangerous?
If he is healthy, not destroyed by caries, and there are no signs of cyst formation, this does not require intervention. This may be cause for concern if the tooth is sore or needs to be removed, since there is a high risk of sinus perforation and infection.
Reviews of surgery
Greetings to all. I would like to speak about your well-being. At first, tormented by just a runny nose. However, it took a long time, and the nose did not breathe. I tried to escape from the stuffiness of many means. I tried everything, down to the popular methods. The miracle did not happen.
Went to the doctor, sent for x-rays. The results were deplorable – odontogenic sinusitis. The final diagnosis, of course, was given to me after a visit to the dentist. I did not think that the problem was in my teeth. Outwardly, everything is fine. But the pictures showed that the roots were inflamed.
I was explained the essence of treatment. Remove 4 problematic teeth in order to clean the sinuses through a hole in the gum, then put the implants. Sounds scary. Now I worry about what I have to do. Anna, 43 years old
I had it. Before the removal of the teeth is not reached. True, I had a couple of years to suffer. Doctors sent to the hospital for punctures – to no avail. The tomography helped, which discovered the main problem.
The operation was done with an endoscope through the gums. In this case, all the teeth remained in place. 3 years have passed, a runny nose sometimes makes itself felt, but is quickly treated. I suffer no more torments. Roman, 37 years old
I am pathologically afraid of operations, so I tried self-medication. I did not achieve anything good. Only could stifle this sore for a while. For those who are afraid of anesthesia and other troubles on the operating table, I want to say that there is no other way out.
One year I tried to get rid of the disease, but in the end only the operation saved. I was given local anesthesia, they say it is easier to move away from it. Everything was exactly a little pained when the bone was scraped. By the time I do not know how much exactly, but for a long time. In the hospital was a week. Timur, 33 years old
I was operated on when this diagnosis was confirmed. The procedure is not pleasant. Anesthesia anesthesia, and I felt a little pain. After the operation, everything did not heal quickly. Although, maybe everyone has everything individually in this regard.
I remember that the next day I could not eat. His face hurt for at least a week. Naturally, everything was in the edema. Of course, after the operation, no consequences can not do. The main thing is that from the eternal stuffy nose no longer suffer. Tatyana, 29 years old
My operation lasted an hour and a half. Anesthesia chose a common. In the end, everything is good, but at first it was painful to swallow and speak, everything was swollen. Andrey, 42 years old