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    Can Sinusitis cause Gingivitis?
    CaptainOblivious posted:
    I have never experienced this before - and there are few reputable resources on the subject. I am in the most painful phase of a sinus infection, one that refuses yet to drain. Last night while brushing my teeth, I noticed the side of my mouth closest to the sinus infection (left) had some acute gingivitis. I took extra time to clean my teeth as a result, and went to sleep on the side opposite the sinus infection. This morning, the sinus infection has moved to that side (right) and, surprisingly, so has the gingivitis. I am confused. The sinuses have yet to drain and it has been 48 hours. Have I missed something important? I am taking ibuprofen and phenylephrine. Thank you for your time.
    Jordan_Josephson_MD responded:
    Hi Captain Oblivious: You are not missing anything. Don?t be confused. You are right on. In fact, your understanding is way ahead of most people and many dentists for that matter. Sinus problems do cause gingivitis. In fact, it can cause all sorts of dental problems including bad breathe, and dental caries (cavities). Furthermore, research has shown that sinus infections in animal studies spread directly through the bone and can spread to the other side. Additionally, the infection that drips into the back of your throat (post-nasal drip) can cause bacteria to spread to your mouth and can worsen gingivitis, dental disease and bad breathe (halitosis). As I already mentioned, the infection in the upper teeth can spread right through the maxillary bone from the sinuses to the teeth and gums. That being said, you should probably see a Board Certified Otolaryngologist-Ear Nose and Throat specialist that specializes in sinus problems. My book Sinus Relief Now actually discusses your exact picture and I have seen this often. This book would be a good read for you and would help you understand your problem. Furthermore, it would help you to find a solution to your problem and I know that your gums would improve as a result. Irrigation with a sinus irrigating system like a Grossan Hydropulse would probably help to drain your sinuses. However, bear in mind that because your sinuses may be infected by the sounds of your story than you will probably need long term medical therapy including antibiotics and maybe even surgery so that they can get the infection/inflammation down and get your sinuses to drain. It sounds like you will definitely need to see a specialist to help you resolve these issues. You bring up a very good point about finding a resource to help you with your problem. I wrote Sinus Relief Now to educate my patients and all patients about how important Sinus Health is for total body health and that includes dental health as well. I don?t have to tell you because you seem to get it and are living it. I try to educate the dentists and many have started to understand that sinus problems cause major dental problems and together we have helped their patients with their dental health. However, it is hard to spread the word to the entire dental community. If you have any ideas, I would love to educate the dental community as improvement in sinus health can improve dental health immensely. I think that if dentists would pay attention to sinus problems as a key cause for dental problems, their patients will benefit greatly. In fact, not only are you not the only one with this story. I have gotten calls from patients around the country that tell me ?how did you know that sinus problems are connected to dental problems? ?I have been telling this to my dentist and he tells me that one has nothing to do with the other?. Or patients that call and say ?How did you know that sinus problems are connected to GERD (gastroesophageal reflux disease)?. ?My GI and my intenist tell me that they have nothing to do with each other?. And I answer ?Because I suffer? So I know that when my sinuses act up my GERD gets worse and when my GERD acts up my sinuses get worse. Then they tell me that they were glad that they found my book because their docs keep telling them that the two are not connected. So in summary, you are right on. When you resolve your sinus problems then your dental problems will start improving. Try to get to a sinus specialist as soon as possible. I belive that you will find the information in Sinus Relief Now to be very helpful. Good Luck and keep us posted. Best Dr J
    AnnLyn71 replied to Jordan_Josephson_MD's response:
    Dr. Josephson:

    For years I suffered with sinusitis, gerd, and gingivitis issues. The problem was I did not know how to identify and cure these issues on my own. My one symptom was horrible bad breath. I brushed and brushed and nothing changed. It was so embarrassing to discuss this with health care providers. Finally it dawned on my to try one step at a time and start with my ENT. After convincing my ENT that I needed surgery I had nasal surgery to remove polyps that had grown within my nasal cavity, excess tissue was removed fom my nasal passage, and the deviated septum was corrected. Finally I am breathing better and the postnasal drip is gone. That was part 1. Then I tried visiting a gastroentologist and he did not help me at all. He never said a word to me about gerd. My family doctor introduced me to anti-acid medication because of a heartburn episode I had. I had no idea that gerd and acid reflux were sending bacteria from my stomach up my esophagus into my mouth which I am certain inflammed the gingivitis. Since then I've began taking acid reflux medication to control the gerd and I've had a detail dental cleaning and am taking a medicated rinse to improve my gums. These three issues caused me great heartache for years. I am happy that I did not give up but kept searching for answers. I would only encourage others to not stop at deadends. Keep searching for the sake of your own health.

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