Symptom >> Otorhinolaryngology >> Stomatology

Upper row toothache

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Patients with odontogenic maxillary sinusitis often have a toothache due to the influence of maxillary sinusitis. Odontogenic maxillary sinusitis is a chronic maxillary sinusitis caused by diseased teeth. It is called odontogenic maxillary sinusitis. The cause is relatively simple. Not all teeth can cause this disease, but limited to those with close relationship with maxillary sinus. The teeth are the first premolar second premolar and the first molar in the upper dentition, that is, the fourth, fifth and sixth teeth from the incisors. Usually, the first inflammation of the teeth, such as acute periarthritis, periodontitis, alveolar abscess, etc., infects the bottom of the maxillary sinus, further expanding into maxillary sinusitis.

Cause

Cause

Usually, the first inflammation of the teeth, such as acute periarthritis, periodontitis, alveolar abscess, etc., infects the bottom of the maxillary sinus, further expanding into maxillary sinusitis. According to previous statistics, odontogenic maxillary sinusitis accounts for about 10%-20% of chronic maxillary sinusitis. With the increasing popularity of oral health knowledge among people, the incidence of dental disease has decreased, and the maxillary sinusitis caused by dental disease has also declined in recent years. Another rare case is that when the first or second premolar or the first molar is pulled, if the maxillary sinus wall near the root of the tooth is damaged, or the residual root of the molar falls into the sinus, the odontogenic maxillary may be secondary. Sinusitis.

Examine

an examination

Related inspection

Oral X-ray examination of oral endoscope

According to the symptoms and including imaging studies can be diagnosed, maxillary sinus puncture can directly understand whether there is inflammation, and the severity of inflammation.

Diagnosis

Differential diagnosis

Differential diagnosis of the above listed toothache:

1. The teeth are hot and cold. The cause of cold and hot teeth is mainly due to the problem of stimulating the pulp. There are nerves in the pulp. Usually there is no hot and cold irritating pain under the protection of the dentin and enamel of the teeth. After the enamel is damaged or the roots are exposed, the teeth that are not protected will be painful due to various hot and cold stimuli.

2, gingivitis: gingivitis is caused by the invasion of bacteria, manifested as bleeding gums, redness, pain, continue to develop invasion of hard tissue, resulting in periodontal inflammation.