Sinusitis
Doc every time I get a cold or my allergies act up my upper teeth hurt. My husband says I am nuts. What can I do about this pain?
Sorry I cannot vouch for your general sanity, but I can tell you sinusitis may follow a cold and is often associated with hay fever, asthma, or any air pollution that causes inflammation. One of the most common non-dental causes of tooth pain – and sometimes-unnecessary dental treatment, is a sinus condition called acute maxillary sinusitis, and is caused by a viral or bacterial infection.
Your sinuses are hollow cavities situated behind your cheekbones (maxillary sinuses) and forehead (frontal sinuses) and around your eyes (ethmoid sinuses). Your sinuses cannot drain properly if they are inflamed, infected and swollen. The pressure created by the fluid buildup creates pressure against the surrounding nerves in your face and teeth. This creates pain in your face, teeth and may even cause headaches.
Proper diagnosis and treatment starts with a complete medical and dental history. Key questions are: When did the pain start? How long have you had the pain? Have you recently had a cold or suffered from allergies? Is the pain relieved when you lie down? Are your teeth sensitive to hot or cold liquids? Are the sensitive when you chew? Is the pain relieved when you use antihistamines or decongestants?
By administering a series of tests your dentist can determine if your tooth pain is caused by a dental problem or sinusitis. If it appears the tooth and gums are healthy and not causing the pain, the dentist should then refer you to your physician for further evaluation of your sinuses.
