Teeth
Can getting a dental crown for a cavity potentially perforate the sinus cavity? I started experiencing sinusitis four years after getting a dental crown, and multiple treatments have been ineffective.
I feel very distressed every day.
What should I do?
Wenwen, 40~49 year old female. Ask Date: 2010/08/06
Dr. Yang Zhiren reply Dentistry
Hello: It is advisable to first have an outpatient X-ray to confirm whether the treatment is complete.
If it is the first or second maxillary molar, the roots are closer to the maxillary sinus, which may affect the sinus.
A retreatment of the root canal should improve your symptoms.
Dr.
Yang Zhiren, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2010/08/06
More Info
Dental implants are a common solution for replacing missing teeth, but they can sometimes lead to complications, including sinus issues and chronic nasal problems. Understanding the relationship between dental implants and the sinuses is crucial for anyone considering this procedure, especially if they have a history of nasal issues.
Can Dental Implants Cause Sinus Issues?
Yes, dental implants can potentially cause sinus problems, particularly when they are placed in the upper jaw, where the maxillary sinuses are located. If the implant is too long or if the procedure inadvertently penetrates the sinus cavity, it can lead to sinusitis or other sinus-related complications. This is more likely to occur in patients who have insufficient bone height in the upper jaw, which may require sinus lift procedures to create enough space for the implant.
Chronic Nasal Problems After Dental Procedures
In your case, it sounds like you experienced nasal issues after receiving a dental implant or other dental work. Chronic nasal problems, such as persistent nasal congestion or sinusitis, can develop for several reasons:
1. Sinus Penetration: If the dental procedure inadvertently penetrated the sinus cavity, it could lead to inflammation and infection, resulting in chronic nasal symptoms.
2. Infection: Post-operative infections can occur, leading to sinusitis. If bacteria from the mouth enter the sinus cavity, it can cause chronic inflammation.
3. Allergic Reactions: Sometimes, materials used in dental procedures (like certain types of dental cement or metal) can cause allergic reactions, leading to nasal symptoms.
4. Underlying Conditions: If you had pre-existing nasal issues, such as allergies or chronic sinusitis, these could be exacerbated by dental work.
What Should You Do?
Given your ongoing nasal issues following dental treatment, here are some steps you can take:
1. Consult an ENT Specialist: An Ear, Nose, and Throat (ENT) specialist can evaluate your nasal passages and sinuses. They may perform imaging studies, such as a CT scan, to assess any sinus involvement and determine if there is an infection or other issues that need to be addressed.
2. Dental Follow-Up: Return to your dentist or oral surgeon to discuss your symptoms. They can evaluate the implant site and determine if there are any complications related to the implant itself.
3. Nasal Treatments: Depending on the diagnosis, treatments may include nasal corticosteroids, saline rinses, or antibiotics if an infection is present. Allergy management may also be necessary if allergies are contributing to your symptoms.
4. Consider a Second Opinion: If your current treatments are not effective, seeking a second opinion from another dental or medical professional may provide new insights or treatment options.
5. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur and any potential triggers. This information can be helpful for your healthcare providers in diagnosing and treating your condition.
Conclusion
While dental implants can lead to sinus issues and chronic nasal problems, it is essential to approach this situation with a comprehensive evaluation from both dental and medical professionals. Early intervention and a thorough understanding of the underlying causes of your symptoms can lead to effective management and relief. Don't hesitate to advocate for your health and seek the necessary evaluations to address your concerns.
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