Whether sinus infection gives tooth pain? Anyone knows how to read PNS x-ray?


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Feb 11, 2019
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Hi,
I am having sinus infection and little toothache on upper molars. I went to the doctor and they told me to go for PNS x-ray to check if I have some infection. She told me that may cause toothache too. And she told me that there looks like infection in 2 of my sinuses. And have me antibiotics. She is a new doctor. I am planning to go for a second opinion too.
I am just looking here if anyone knows to read pns xray?
 
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honestdoc

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Not many dentists are trained in reading the ParaNasal Sinus x-rays. The best bet is to get referred to an Ear-Nose-Throat specialist. It is important to have the sinuses evaluated & cleared before evaluating the upper molars. I had a case where this lady had pain with an upper molar. Tests were very vague and I was hesitant on initiating any treatment. This happened for 3 visits and with each visit, I advised her to visit an ENT doctor to check here sinuses. On the 4th visit, she told me the ENT said there were no sinus problems (no images were taken) so I completed the root canal. Shortly afterwards, she returned complaining of having the same pain on the tooth. A different ENT took some images and sure enough there was a sinus problem.
 
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I agree with honestdoc. Sinus infection will give referred pain on the upper molar teeth. It is better to evaluate with ENT specialist before approaching a dentist. If you are doubtful, I would say to get the second opinion with your PNS x-ray with an ENT specialist before taking antibiotics. In the meantime, you can do steam inhalation which is pretty harmless and helps to soothe the nasal walls.
 
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MattKW

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Simple test for sinus infections. Sit down, then drop your head quickly down to your knees and back up again. If that gives pain, then it's sinusitis, not teeth. Can also try treating as if a sinus infection (nasal sprays, steam inhalation, antibiotics), and if the pain settles, then it was prob a sinus infection.
 

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