Odontogenic sinusitis or sinusitis from problem teeth

What is sinusitis?

Sinusitis is an inflammation of the maxillary sinuses. It usually develops as a complication of a runny nose. The most characteristic signs:

• temperature rises to 37 - 37.5 C;
• nose is stuffed;
• yellow-green nasal discharge appears;
• the bridge of the nose, cheeks near the wings of the nose and temples hurt;
• headache worsens in the evening;
• the sense of smell disappears;
• the voice becomes nasal;
• feeling of general weakness.

When the maxillary sinuses are inflamed, a person quickly gets tired, it is difficult for him to concentrate, and his memory weakens. It is very difficult to work with sinusitis, so it is better to take sick leave.

Sinusitis can be acute or chronic.

Symptoms of inflammation of the trigeminal nerve

Experts include short-term, but acute and intense pain in different parts of the head as the main symptoms of facial neuralgia. Shooting attacks spread over the entire surface of the face - lips, eyes, nose, upper and lower jaw, gums and tongue.

Patients also report the following symptoms:

• Metallic taste in the mouth
• Muscle weakness
• 2-3 days before facial expressions are affected, pain occurs behind the outer ear, spreading to the face, back of the head and eyes
• Facial asymmetry
• Inability to close the eye on the affected side
• Drooping corner of the mouth
• Dry mouth
• Slurred speech
• Cross-eyed strabismus
• Uncontrollable tearing
• Disorders of taste buds
• Increased drooling
• Facial muscle spasms
• Increased or decreased facial sensitivity
• Temperature increase

Due to discomfort and pain, the patient begins to develop a phobia and increased anxiety. He tries to avoid poses and movements that provoke discomfort.

Causes of sinusitis

The disease occurs more often in the cold season in people with weakened immune systems, but this is not the only reason. Inflammation of the maxillary sinus can develop due to:

• complications of a runny nose;
• curvature of the nasal septum;
• damage to the nasopharynx;
• adenoiditis;
• infections and bacteria;
• allergies;
• too dry indoor air;
• work in hazardous industries;
• poor condition of the upper teeth;
• trauma to the mucous membrane of the maxillary sinus.

How does dental sinusitis develop?

The paranasal sinuses (sinus paranasales) consist of a system of several cavities in the near-nasal space.
In the case of a cold, less ventilated sinuses are especially susceptible to developing sinusitis. The maxillary sinuses (sinus maxillaris, maxillary) are relatively well ventilated. However, the floor of the maxillary sinus is separated only by a narrow bony plate from the molars of the upper jaw. Due to this anatomy, the development of dental (odontogenic) sinusitis is quite common. The main cause of odontogenic sinusitis may be inflammation that forms in the area of ​​the roots of the teeth and easily spreads to the mucous membrane of the maxillary sinus. Common pathogens include bacteria such as:

• Streptococcus pneumonia - streptococcus;
• Haemophilus influenza – hemophilus influenzae;
• Moraxella catarrhalis is a protobacterium of Moraxella.

Odontogenic maxillary sinusitis can also form due to tooth extraction (extraction). If one of the maxillary molars is removed, with damage to the bone grafting of the upper jaw, bacteria from the oral cavity can enter the sinus. In this case, they talk about the formation of an unnatural connection between the oral cavity and the paranasal sinus - an oroantral fistula. This trigger factor is considered one of the common causes of “dental” sinusitis.

A third dental cause of sinusitis involves inflamed roots that go unnoticed. As a result, cysts are formed that “grow” into the sinus cavity.

Diagnosis of sinusitis

Treatment of sinusitis will be effective if the patient contacts an ENT specialist in time, the specialist will diagnose and prescribe treatment. The examination includes a number of procedures:

• examination of the nasal cavity;
• palpation or feeling the area around the nose and under the eyes;
• clinical blood test;
• X-ray of the paranasal (paranasal) sinuses - according to indications;
• computed tomography of the sinuses.

X-rays can detect the accumulation of mucus in the sinuses and swelling of the mucous membrane of the sinuses. With sinusitis, a darkening will be visible in the picture, since the mucus and swelling of the tissues in the cavities do not allow x-rays to pass through.

CT scan of the paranasal sinuses is necessary to identify polyps, cysts and anatomical changes. The examination is painless and lasts no more than 5 minutes.

If you feel heaviness when you tilt your head down, and the discomfort subsides some time after you raise your head, contact an ENT specialist. Self-medication with folk remedies, randomly selected antibiotics and nasal drops causes serious complications. Sinusitis can become chronic and cause more severe diseases: otitis media, meningitis, brain abscess, orbital phlegmon (inflammation of the tissue around the eyeball).

I needed to take care of my teeth!

The cause of the disease can be not only a poorly placed filling. Odontogenic sinusitis can also occur due to individual structural features of the upper jaw. But in the vast majority of cases, the disease is caused by improper dental care. For example, a patient starts caries, and necrotic decay of the pulp (dental nerve) begins. The products of necrosis cause inflammation in the perihilar tissues, which then develops through the membrane of the maxillary sinus.

Article on the topic

Expert advice: How to prevent sinusitis?

If, due to a long-term inflammatory process of the upper “sixes”, the tooth has to be removed, an additional problem may arise – a fistula. Then the only solution is surgery: a flap is cut out from the side of the oral cavity, which is used to cover the tooth socket. If the infection has managed to lead to the development of sinusitis, then it is necessary to operate on the maxillary sinus.

However, sometimes the tooth can still be saved. In such cases, the doctor carefully moves the gum with special instruments, cuts out a piece of the root, filling the void with artificial bone tissue and treating the surgical site with medications. Naturally, therapy is simultaneously prescribed for the mucous membrane of the maxillary sinus - this is the prerogative of the otolaryngologist. But it should be noted that healing is a fairly long process, at least a month to a month and a half.

Treatment of sinusitis

Depending on the patient’s condition and the course of the disease, the doctor prescribes therapy and selects antibacterial, decongestant and anti-inflammatory drugs. Treatment can be conservative or surgical.

Conservative treatment

For mild sinusitis, in addition to drug treatment, according to indications, nasal cavity lavage according to Proetz, or “cuckoo”, is performed. A special solution is injected into the nose of the patient lying on his back. It passes through the nasal cavity, sinuses, after which it is pumped out with a vacuum pump. “Cuckoo” is carried out in a course of 2 to 10 procedures.

For moderate and severe cases of the disease, antibiotics are prescribed in the form of tablets, solution for injection or inhalation.

Surgical treatment (puncture of the maxillary sinus)

In case of severe purulent sinusitis or lack of effect from conservative therapy, a puncture is used. This allows you to quickly remove pus from the sinus, clean it and treat it with an anti-inflammatory drug. Sometimes several similar manipulations are required. Punctures are performed under local anesthesia.

When sinusitis cannot be treated or is in an advanced stage, surgery is performed under general anesthesia. The period of complete recovery after surgery can take up to two weeks.

Implant into a modified sinus - is it possible?

Some time after tooth extraction, the patient may decide to install an implant. If sinus treatment was not carried out in a timely manner after tooth extraction, it remains to treat sinusitis before sinus lift surgery and implant installation.

It is advisable to do this together with an otolaryngologist.

But at the same time, the patient must understand that during a sinus lift, the altered sinus may rupture because it has an altered structure. And if this does happen, the sinus lift may not take place. Therefore, odontogenic sinusitis still needs to be treated during tooth extraction. And prepare the sinus together with the otolaryngologist.

Prevention of sinusitis

To avoid sinusitis you should:

• spend enough time outdoors;
• strengthen immunity;
• Healthy food;
• take vitamins;
• dress according to the weather;
• seek medical help in a timely manner.

If you have discovered the first symptoms of sinusitis and are looking for a qualified specialist who will diagnose and help you cope with the disease, call the phone number listed on the website or leave a request in the feedback form. Medical staff will answer your questions and conduct all necessary examinations within one business day. Let's take care of your health together!

Treatment of addiction to nasal drops

The first stage is awareness of the problem. It is necessary to accept that an addiction to nasal drops or sprays has formed. Addiction worsens the quality of life and threatens serious complications.

The next step is to seek help from a competent ENT doctor. A specialist will help distinguish medicinal rhinitis from seasonal or allergic rhinitis, decide how serious the complications are, and select adequate treatment to restore nasal breathing. The sooner the patient contacts the doctor, the more successfully vascular function will be restored.

Drug addiction sometimes takes years to form, so you can’t get rid of it in a couple of days. Nasal breathing improves gradually. Medicines, physiotherapy methods and surgical interventions are used. To make you feel better, the doctor prescribes intranasal anti-inflammatory drugs containing synthetic glucocorticosteroids. The drugs improve the condition of the mucous membrane, facilitate the discharge of mucus, and relieve the symptoms of inflammation. The therapy is complemented by physiotherapeutic procedures - laser treatment, medicinal extracts (herbal medicine), the use of ultraviolet irradiation, tube quartz treatment, etc.

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Make an appointment through the application or by calling +7 +7 We work every day:

• Monday—Friday: 8.00—20.00
• Saturday: 8.00–18.00
• Sunday is a day off

The nearest metro and MCC stations to the clinic:

• Highway of Enthusiasts or Perovo
• Partisan
• Enthusiast Highway

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Signs if perforation was left without the attention of a doctor

Symptoms of inflammation after unsuccessful treatment occur in different ways - after a few days, weeks or even years. Depends on the sterility of the foreign body in the sinus, its ability to cause inflammatory processes, and the characteristics of the patient’s immune system. The following manifestations are possible:

• feeling of heaviness;
• pain when chewing;
• purulent and serous discharge from one nostril;
• elevated temperature;
• impaired sense of smell;
• pain when lightly tapped under the eye and in the nose area.

These are typical signs of odontogenic sinusitis caused by poor quality dental treatment. The key difference from rhinogenic sinusitis (when sinus infection occurs from the side of the nasal passages as a result of ARVI or influenza) is that signs of the inflammatory process are detected only on one side, where treatment was carried out.