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Unsolved sinus/dental issues with severe pain
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tdangel3 posted:
My symptoms began about 2 years ago with back to back sinus infections. I consulted an ENT who spent less than 20 minutes w/ me & suggested a CT scan which showed minimal mucus lining in my maxillary sinus cavities. At that time I couldn't be assured it would help & ultimately decided not to go through with the procedure. A month or so later I had severe pain in my left cheek/jaw & then my gum began to swell substantially. I consulted my dentist (also an oral surgeon) that did the scans/x-rays & couldn't detect any issues. We scheduled what I guess you would call a bone/gum graft. He cut open my gum & began cleaning & scoping out infected tissue when he found a small speck of metal (his guess, didn't test or anything). He completely cleaned the area & packed in synthetic bone graft to help reform any bone loss form the infection.

Since that time I had been treated for sinus infections 3-5 times in a year's time that are treated w/ antibiotics. About a year after the gum surgery I start feeling the same painful symptoms & before you know it the gums swell & an abscess appears in the same area. I go back to the dentist & after a few bouts of antibiotics I go in for a root canal for the tooth that appears to be the cause (same tooth/gum area as surgery). The dentist tells me the root is brown & completely dead but not signs of further infection or deterioration in the gum or tooth itself, so that's good news according to him.

I've had a few sinus infections since that time that start with the same pressure & pain in my face over the past year or so. I have also watched my teeth/gums closely and have been assured by my dentist there is no signs of tooth or gum disease. Just a few weeks ago, the pain comes back but quite tender in my left cheek right next to my nose. I go to see my physician this time & give my complete history. I begin taking augmentin (sp?) & then referred to see the ENT. During the time of my physician apt & the ENT appt (a week) the pain/pressure gets worse & then swelling in my gums returns. It begins to look like an abscess & haven been told by my dentist last time to try to drain or get the infection out, I did the same thing this time. I was able to "drain" the swollen gums but there was no sign of pus or infection, just blood. I let the ENT know ALL of these symptoms & my history and scheduled another CT scan.

I had the scan done yesterday to which the ENT said it showed to be about the same as the last one. He showed me the scan & walked me through it, as he did the last time. I did notice there was a lot more blockage or grey in the nasal passages & there was a grey dot (maybe pea size) in my left maxillary cavity that he said was mucus(something). He said normal that should be a thin layer & clear but seems normal. The scan also showed my previous dental work & the roots of that area (2 teeth/roots from what I could tell) pretty close to the let maxillary cavity if not already touching or protruding. His advice at this time is to perform the sinuplasty to clear blockage & any remaining infection. He said he basically rules out dental concerns as a the problem due to everything I've already had done & what the dentist has said about my gum/tooth health. He said a 3rd & rare possibility is a-typical facial pain but very unlikely due to my symptoms. I am trying a nerve medication now to see how it helps/affect the pain.

I'm not against doing the sinuplasty but can't help but feel like the ENT is almost selling this procedure. There should be an explanation of what is causing all of this, right? I have now been on antibiotics for 12 days and the pain hasn't subsided but almost shifting around & no have a low grade fever. The pain was so severe this past weekend I almost went to the hospital. The pain/pressure is now in my jaw & neck. My neck feels really tight & swollen while the pressure in my face remains. Any feedback advice is greatly appreciated as I'd like to find a solution/cause. Thank you!
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