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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Upper Teeth, Conebeam CT Showed Maxillary Mucositis. Meaning And Treatment Options?

I have been in a lot of pain with my upper teeth . I have had a conebeam Ct and was diagnosed with residual periapical inflammatory lesion or maxillary mucositis . This has not been explained to me yet. Could you possibly explain what mucositis is and how it can be corrected. I believe the periapical inflammatory lesions do need surgery . Thanks for your reply.
Tue, 26 Jun 2012
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Dentist,  's  Response
mucositis is medical term describing the infection and inflammation in mucosa( inner part/linning of mouth,sinus,etc.)
maxillary sinus mucositis- is what u have been asking for i think so..in it the mucosal linning of maxillary sinus is inflammed due to infection..
residual periapical inflammatory lesion- it indicates that any of your extracted tooth (may be rct treated) had some lesion most probably- a cyst or grannuloma which has not been removed during their extraction or has not resolved yet.. it typically is around the root region of tooth (periapical)..
the treatment for both includes antibiotics both local and oral along with anti-inflammatory medicines, surgical excision/curretage of residual lesion.. and if tooth is present- repeat RCT and Apicectomy.. and in sinus also sometimes surgery is required if lesion extends inside its linning also.
inshort-
i think u had some periapical lesion in your premolar or molar tooth of upper jaw bone, which has infected your maxillary sinus.. and the size of lesion and tooth existence will decide treatment plan..
you must consult an oral maxillofacial surgeon for surgery...
take care..
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Pain In The Upper Teeth, Conebeam CT Showed Maxillary Mucositis. Meaning And Treatment Options?

mucositis is medical term describing the infection and inflammation in mucosa( inner part/linning of mouth,sinus,etc.) maxillary sinus mucositis- is what u have been asking for i think so..in it the mucosal linning of maxillary sinus is inflammed due to infection.. residual periapical inflammatory lesion- it indicates that any of your extracted tooth (may be rct treated) had some lesion most probably- a cyst or grannuloma which has not been removed during their extraction or has not resolved yet.. it typically is around the root region of tooth (periapical).. the treatment for both includes antibiotics both local and oral along with anti-inflammatory medicines, surgical excision/curretage of residual lesion.. and if tooth is present- repeat RCT and Apicectomy.. and in sinus also sometimes surgery is required if lesion extends inside its linning also. inshort- i think u had some periapical lesion in your premolar or molar tooth of upper jaw bone, which has infected your maxillary sinus.. and the size of lesion and tooth existence will decide treatment plan.. you must consult an oral maxillofacial surgeon for surgery... take care..