Sinusitis is a type of sinusitis that is characterized by inflammation of the maxillary sinuses. With the disease of ENT doctors have to face most often. One of the leading clinical signs of disease is pain, radiating to the teeth, forehead and nose.
If a sore tooth in the sinus, then you need to urgently get an appointment with the audiologist, and treat the disease, which has become the root cause; otherwise relapses will occur periodically.
Why there is pain in the teeth in the sinus
When the patient is often troubled with a toothache, most likely, we are talking about odontogenic varieties of the disease. Pathogenic microorganisms spread from foci of infection in the oral cavity. In this case, it is necessary to begin therapy from the rehabilitation of all patients (affected by caries and other diseases) teeth.
Pathology can occur as acutely and chronically. Usually on the septum of the maxillary sinus becomes inflammation of the infected tissue of the first or second molars of the upper dentition.
The pain is characterized by a high degree of intensity, usually localized on one side. One of the common signs of odontogenic form of pathology it becomes difficult nasal breathing and discharge of mucus mixed with pus. If time does not diagnose, and do not take adequate comprehensive measures for the treatment of acute forms of the disease, it can become chronic and lead to very serious complications.
Between the clinical signs of forms of sinusitis there is practically no difference.
For acute forms of the disease characterized by:
- malaise, physical weakness;
- febrile reaction;
- deterioration or a complete lack of smell;
- inflammatory swelling in the nose area;
- the reduction or complete disappearance of appetite;
- bad breath;
- drowsiness in the daytime;
- tooth pain, the intensity of which increases when pressure is applied to the causal tooth.
Pain in various forms of sinusitis may be both ascending and descending. When rising form the source of the lesions are diseased teeth, from which pathogenic microflora rises into the sinus. When descending , the primary source of infection is the maxillary sinus. If in the beginning there was pain in the tooth, then most likely, we are talking about the upstream mechanism of infection.
During diagnosis it is important to identify not only the form of the disease, but the causal tooth. The General examination usually uninformative. In the chronic form the physician can visually detect the presence of polyps or scabs.
The patient required a chest x-ray or CT scan.
How to remove tooth pain in sinusitis?
If my teeth hurt with sinusitis, the treatment is carried out only in stationary conditions in connection with high risk of complications. Initially, the dentist carries out the readjustment of chronic foci of inflammation in the oral cavity. After finishing the treatment the patient deals with the doctor.
Since tooth pain can develop and some of the other varieties of sinusitis, the first step is to treat the underlying pathology.
Due to the high risk of complications and requires hospitalization of the patient to the relevant Department of the medical institution. At the initial stage, the patient examines and treats the dentist, which completely eliminate the inflammatory process in the oral cavity. After the oral cavity sanation professionals begin to ENT therapy. According to testimony carried pereplanirovka causal tooth or tooth extraction.
In addition, the patient is prescribed a regular lavage of the maxillary sinuses with antiseptics and broad-spectrum antibiotics. The procedure is performed via puncture under local anesthesia is a tampon soaked in a solution of anesthetic (e.g., lidocaine), using a thin spatula is introduced into the nasal passages. To further carry out regional blockade of the second branch of the trigeminal nerve, innervating all the walls of the sinus.
Etiological therapy requires rehabilitation of the affected area, which is achieved by pharmacological means, appointed as peroralno and parenteral. Drug treatment involves the appointment of NSAIDs for pain and inflammation, immunomodulators and Immunostimulants, antibacterial and antihistamine pharmacological agents. Good results helps to achieve flushing of the nose with a catheter.
If conservative methods soon not give the expected result, is the puncture of the maxillary sinus. Puncture is performed to create a fistula to drain pus. In the course of the procedure of forced evacuation of purulent content, camera lavage and intravenous antibiotics. Symptomatic treatment in this situation involves the appointment of a powerful modern analgesics.
Self-medication is dangerous for the patient. Among the recipes of folk medicine has no means how to relieve toothache with sinus. In this case you will only qualified medical care and strict compliance with the recommendations of a physician. You should not forget a thorough oral hygiene and preventive visit to the dentist at least every six months.
Measures to prevent the development of sinusitis include early diagnosis, measures for regular cleaning of the nasal and oral cavity, and timely therapy of SARS, physical activity, nutrition, and cold time of the year to take additional vitamin-mineral complexes.