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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am Getting Some Complications From Sinus Intrusion

I have a rear tooth with a hole in it which is suspected to have a root in the sinus cavity - it looks very clear to me on xray that it is definitely in there but my dentist said there is no way of knowing 100% until it comes to extraction although he thinks it is highly likely One of the roots is crooked and dentist is concerned the tip may break off during and extraction, so with that, along with the risk of sinus perforation, he has referred me to have the tooth removed surgically which will be several months before it is done due to waiting lists My question is this - i developed toothache in this tooth and earache about 10 weeks ago and at the same time started suffering with a great deal of heat in my cheeks and neck - no redness but so hot - temperature varies between 36.1 - 37.2 during the day I also developed post nasal drip and a yellow coating on my tongue but no facial pain or outer nasal congestion - i do sound nasal when i speak though so there may be deeper congestion My doctor thought it was sinusitis and i had several courses of antibiotics which got rid of toothache and earache but have been left with the hot face and neck - my eyes burn and i get itchy hives on my cheeks when i am hot - this is more common when i am indoors and/or in the afternoons Could the tooth be the problem - could it cause the heat in my face? Thanks
Sun, 13 Feb 2011
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Otolaryngologist / ENT Specialist 's  Response
Hi Amanda,

Your detailed description was indeed useful to zero in into your problems. What your dentist told you is right, I would suggest you to get a repeat x-ray of the teeth as well as the sinuses to rule out sinusitis. You need to take a second opinion from a good dentist and a opinion of the ENT specialist. Many a times the root of the molar tooth can lie in the floor of the maxillary sinus causing recurrent sinus problems.

Regards
Dr. Naveen Kumar
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  User's Response
amanda's  Response
Thank you so much

My doctor refused to refer me to ent because i have been referred to an oral surgeon. I am in the uk as i i do not pay for treatment i cannot see an ent unless my doctor refers me

Do you think this could be causing my face cheeks and neck to be so hot?

Blood tests have ruled out other causes

Thanks again
Otolaryngologist / ENT Specialist Dr. Naveen Kumar Nanjasetty's  Response
Hi Amanda,

Sinusitis can cause the above mentioned symptoms. It is better to get thoroughly investigated rather than taking symptomatic medicines.

Regards
Dr. Naveen Kumar
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I Am Getting Some Complications From Sinus Intrusion

Hi Amanda, Your detailed description was indeed useful to zero in into your problems. What your dentist told you is right, I would suggest you to get a repeat x-ray of the teeth as well as the sinuses to rule out sinusitis. You need to take a second opinion from a good dentist and a opinion of the ENT specialist. Many a times the root of the molar tooth can lie in the floor of the maxillary sinus causing recurrent sinus problems. Regards Dr. Naveen Kumar