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Old 07-12-2014, 01:27 AM #1
oatie72 oatie72 is offline
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Default Sinus blockage after extraction

Hello there, I am writing for my fiance. He had lots of toothaches, migraines and upper/lower back pain a bit over a year ago. He had molars removed, and the migrianes not only worsened, but was permanent up until a couple months ago. Now it is just sinus "pressure" as he describes it. Along with the permanent migraines, he feels like there are a few capularies below his nose/above front teeth that are blocked. Because of this, he feels like he is not getting enough oxygen. He has tingling in his arms and legs, and his veins bulge out several times a day. the lower back pain has went away, but the upper is here to stay. His jaw pops several times a day. He is very weak, and can not sit nor stand for more then a half hour at a time it seems. He is never comfortable and has not worked in 7 months. One more strange symptom is he feels like there is a "bubble" of air that starts in his stomach, and he feels it travel up his body, hit his chest and travel to his head, building pressure where the sinus blockage is, then goes back down. This seems to happen the most when he is laying down. It has been 13 months and he has had no releif, doctors dont believe him, and chuckle at him when he expresses his sensations.

We have had a full blood test done and they have came back fine. He has taken 3 weeks of antibiotics (after another 4 teeth were extracted last month) and no difference. He also experiences lots of stomach pain. I am not sure if this is all related, but it all started after the first tooth extraction 13 months ago. It has been expressed in the ER, ENT, and dentist that there is inflammation in the CT scan but no talk of it, they just say "oh yeah, I see some inflammation in there, but we cant really say what it is" or something along those lines. Any idea on what this could be?
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Old 07-13-2014, 09:27 AM #2
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Bryanna Bryanna is offline
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Hi oatie,

I am not a doctor but I am in the dental field.

It sounds to me like your fiance has a systemic infection. This means that an infection has traveled from one place to another or to several areas. Oral antibiotics do not cure this type of infection unless the source of the infection has been found and removed.

It also sounds to me like your fiance has poor oral health, decay and periodontal disease based on your statements. ALL of those things will cause and contribute to a systemic infection. Getting rid of a tooth here and there will not cure the problem... it is simply putting a small bandade on a big wound.

Infected teeth, especially those in the upper arch, and/or periodontal disease can easily infect the sinus and beyond. Meaning long term oral infection can travel to the brain and sometimes cause a cancer called Glioblastoma Multiforme.

I know that is scary to think about but it does happen and that is why it is imperative to not take our dental health for granted. Everything that goes on in our mouth affects every other area of our body as the bacteria in the mouth continually travels through the bloodstream, through the lymphatic system and through our major organs. Eventually the immune system becomes overwhelmed and the bacteria takes hold in various areas of the body.

People who have chronic oral infections are not healthy irrelevant of their physical symptoms. His physical symptoms may have appeared to begin after he had the first tooth removed.... however, in all probability he was ill prior to that extraction without obvious symptoms. The removal of his tooth stimulated his immune system to send healing cells which is what it's suppose to do. However in someone who has a systemic infection the stimulation of the immune system wakes up the bacteria and inflammation that is residing elsewhere. This is why it is not wise to remove only part of the problem as with each removal this same scenario plays out causing further or various physical symptoms.

I would suggest that he go to the dentist and find out how severe his dental health is and take the steps to remove all sources of infection. This may mean he will lose all or most of his teeth. He should go to an oral surgeon for the removal of his teeth, not a general dentist. He can discuss replacement options with his general dentist prior to have the oral surgery.

That is my opinion based on my professional experience. I hope he understands the seriousness of his situation and gets the help he needs.



Quote:
Originally Posted by oatie72 View Post
Hello there, I am writing for my fiance. He had lots of toothaches, migraines and upper/lower back pain a bit over a year ago. He had molars removed, and the migrianes not only worsened, but was permanent up until a couple months ago. Now it is just sinus "pressure" as he describes it. Along with the permanent migraines, he feels like there are a few capularies below his nose/above front teeth that are blocked. Because of this, he feels like he is not getting enough oxygen. He has tingling in his arms and legs, and his veins bulge out several times a day. the lower back pain has went away, but the upper is here to stay. His jaw pops several times a day. He is very weak, and can not sit nor stand for more then a half hour at a time it seems. He is never comfortable and has not worked in 7 months. One more strange symptom is he feels like there is a "bubble" of air that starts in his stomach, and he feels it travel up his body, hit his chest and travel to his head, building pressure where the sinus blockage is, then goes back down. This seems to happen the most when he is laying down. It has been 13 months and he has had no releif, doctors dont believe him, and chuckle at him when he expresses his sensations.

We have had a full blood test done and they have came back fine. He has taken 3 weeks of antibiotics (after another 4 teeth were extracted last month) and no difference. He also experiences lots of stomach pain. I am not sure if this is all related, but it all started after the first tooth extraction 13 months ago. It has been expressed in the ER, ENT, and dentist that there is inflammation in the CT scan but no talk of it, they just say "oh yeah, I see some inflammation in there, but we cant really say what it is" or something along those lines. Any idea on what this could be?
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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Old 05-26-2015, 11:14 PM #3
oatie72 oatie72 is offline
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Default Thank you!

Bryanna, I want to thank you for your reply. We have brought him to dentists, and he does need a perioldontal cleaning. We just need to find a place that is affordable! Sorry it took a year to thank you. He is still having lots of problems, nothing is getting better. Hopefully we can get this mouth cleaned up!
Quote:
Originally Posted by Bryanna View Post
Hi oatie,

I am not a doctor but I am in the dental field.

It sounds to me like your fiance has a systemic infection. This means that an infection has traveled from one place to another or to several areas. Oral antibiotics do not cure this type of infection unless the source of the infection has been found and removed.

It also sounds to me like your fiance has poor oral health, decay and periodontal disease based on your statements. ALL of those things will cause and contribute to a systemic infection. Getting rid of a tooth here and there will not cure the problem... it is simply putting a small bandade on a big wound.

Infected teeth, especially those in the upper arch, and/or periodontal disease can easily infect the sinus and beyond. Meaning long term oral infection can travel to the brain and sometimes cause a cancer called Glioblastoma Multiforme.

I know that is scary to think about but it does happen and that is why it is imperative to not take our dental health for granted. Everything that goes on in our mouth affects every other area of our body as the bacteria in the mouth continually travels through the bloodstream, through the lymphatic system and through our major organs. Eventually the immune system becomes overwhelmed and the bacteria takes hold in various areas of the body.

People who have chronic oral infections are not healthy irrelevant of their physical symptoms. His physical symptoms may have appeared to begin after he had the first tooth removed.... however, in all probability he was ill prior to that extraction without obvious symptoms. The removal of his tooth stimulated his immune system to send healing cells which is what it's suppose to do. However in someone who has a systemic infection the stimulation of the immune system wakes up the bacteria and inflammation that is residing elsewhere. This is why it is not wise to remove only part of the problem as with each removal this same scenario plays out causing further or various physical symptoms.

I would suggest that he go to the dentist and find out how severe his dental health is and take the steps to remove all sources of infection. This may mean he will lose all or most of his teeth. He should go to an oral surgeon for the removal of his teeth, not a general dentist. He can discuss replacement options with his general dentist prior to have the oral surgery.

That is my opinion based on my professional experience. I hope he understands the seriousness of his situation and gets the help he needs.
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