Hello,
I have looked through almost all the medical advice about dental problems on the internet, but I have not found anything describing my problem, so I am writing to you personally. Two weeks ago I caught a severe cold (sore throat, inflamed left nostril and left ear). I recovered on my own, without antibiotics, and did not see a doctor. During the cold, however, I began to feel a sharp sensation in the upper left first or second premolar. One of the two teeth gave a jolt of pain when I walked downhill, moved my head quickly from side to side or jumped from a height downwards. After two weeks the condition is better; now the tooth only gives a jolt if I quickly throw my head back against a harder surface, for example an armchair. I am currently abroad and a few days ago I went to a dentist here. She examined both teeth; both have old fillings (the teeth are still vital), but she noticed nothing unusual. She also took X-rays of the teeth, but again saw nothing abnormal. Interestingly, the teeth do not hurt to touch, on percussion or when I eat. The dentist said we should wait and that she would rather not open both teeth because the problem is not very disturbing. She only gave me some alcohol-based solution or something similar, which I diluted with warm water and used to rinse the left side (Chlorophyllipt). It helped a little. Please tell me what you think this could be, because it is very unpleasant to keep visiting dentists abroad, and I will not return to Slovenia for another month. Thank you in advance and kind regards.
Dentist Tomaž Rotar answers:
Dear Madam!
You have listed typical signs of inflammation of the mucosa of a paranasal sinus (maxillary sinus). Rapid head movements shake the fluid in the sinus that accumulated as a result of acute inflammation. Movement of the fluid and increased pressure in the sinus trigger the characteristic pain. When the root tips of the upper teeth (premolars or molars) are located in or near the sinus cavity, inflammation can spread to them or vice versa. Since the X-ray did not show changes in the teeth or around the tips of their roots, we would conclude that the teeth themselves were not the cause of the pain.
For more thorough diagnostics you would need to come to the practice; otherwise sinusitis (inflammation of the sinus mucosa) is treated with antibiotics.
We look forward to your visit!