Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

Sinus, TMJ, headaches, pain while eating, infected root in sinuses, on imetrix, history of migraines. Treatment ?

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
My question had to do with sinus and TMJ problems. I recently have had severe headaches and I went to my oral surgeon because I felt it was because of TMJ because it would get really bad after I would eat something hard like nuts.. I would hurt for days. He found that I had an infected root up in my sinuses and he did a sinus floor patch. I am still having pain after weeks after this when I eat. He said my TMJ is mild. I woke up one morning to black stuff all over my tongue and teeth. What could this be? I am so sick of the headaches and noone can seem to help me. I do take Imetrix for migraines and this is not a migraine. It hurts above my ear, into my eye, the back of my head, and it is severe.

Posted Thu, 3 May 2012 in Ear, Nose and Throat Problems
Answered by Dr. Jasvinder Singh 45 minutes later

Thanks for posting your query.

You have mentioned that you found black stuff all over your teeth and tongue and recently you had a sinus floor patch. This raises the possibility of an underlying infection and the presence of a hematoma discharging blood or pus of the floor patch after the surgery.

Infection, inflammation and hematoma formation are common side effects of this procedure and this could be responsible for the pain that you are having.

You need to get a CT scan and a culture sensitivity of the discharge (black discharge) from the area to confirm the diagnosis.

Second possibility is of TMJ (Temporomandibular Joint) disorder but this possibility can be thought of only after the possibility of infection/ hematoma have been ruled out. You can apply warm compresses to the joint and take anti inflammatory pain killer drugs after consulting your doctor.

A physical therapist can also be approached as craniosacral therapy to relax the muscles and fascia of the jaw is very helpful in relieving the pain. You can use the day and night splints for TMJ. In addition, biofeedback instrument such as a biofeedback headband also helps at night.

Reconstructive dentistry, Arthrocentesis (joint irrigation), Surgical repositoning of jaws and oral surgery (as last resort) can also be tried.

Hope this answers your query.

If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your follow up queries.


Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an ENT Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor