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Medical Forum / General / Dentistry / October 2005

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crown complication

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tdonline - 17 Oct 2005 19:54 GMT
In May, I had a crown replaced as it had become slightly loose and led
to further decay of the tooth underneath.  After the replacement, I
noticed a sharp pain whenever I would floss.  This is the 3rd to last
tooth in upper right back.  Went back after two weeks and had a x-ray
done.  Dentist said everything looked fine. Told me to give it some
time and come back if it still bothered me.

I've been dealing with a possible sinus infecton for the last two
months.  And now I wonder if there is a correlation between the tooth
and the sinus infection.  When I floss the tooth, there is still some
pain, but by the smell test, there doesn't seem to be any decay.  I'm
suffering from occassional dull pain on both of my upper sides.
Thought it was the sinuses annoying the teeth, but wonder if it's the
other way around.  But I'm not suffering any particular pain with this
tooth alone.

Will see the dentist soon and wanted to bring this up. Could he have
done something with the tooth that would have aggravated my sinuses?
Does it sound plausible?
Mark & Steven Bornfeld - 17 Oct 2005 20:10 GMT
> In May, I had a crown replaced as it had become slightly loose and led
> to further decay of the tooth underneath.  After the replacement, I
[quoted text clipped - 15 lines]
> done something with the tooth that would have aggravated my sinuses?
> Does it sound plausible?

    Extremely unlikely.  But your dentist should check both the extension
of the margin under the gumline and the contact between the new crown
and the adjacent teeth.
    Personally, I wouldn't put too much stock in the "smell test".

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

tdonline - 17 Oct 2005 20:22 GMT
Thanks.  The smell test isn't good for everything?  That's how I
figured out something was wrong with the previous crown.  There wasn't
pain, but I noticed 'dead carcass odor' whenever I flossed in the area.
I also noticed intermittent release of that odor for awhile.

I'm having a horrid odor problem again and first thing I did was check
after flossing.  Nothing so far.  It seems like it's coming more from
the throat or from the post nasal drip.  Teeth and gum feel and look
okay (other than the problems described already).
W_B - 17 Oct 2005 20:49 GMT
>Will see the dentist soon and wanted to bring this up. Could he have
>done something with the tooth that would have aggravated my sinuses?

No.

>Does it sound plausible?

Nope.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Amatus Cremona - 17 Oct 2005 21:51 GMT
>Will see the dentist soon and wanted to bring this up. Could he have
>done something with the tooth that would have aggravated my sinuses?

If it is both side, not specific to one tooth, and variable in location and
intensity, muscle spasm would need to be on the list of items to check for.

Signature

/

Amatus

/

>
>>Will see the dentist soon and wanted to bring this up. Could he have
[quoted text clipped - 10 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
tdonline - 20 Oct 2005 03:16 GMT
Thanks.  I'm trying to eliminate possible causes of my persistent bad
breath.   My CT scan for sinuses came back clear for an infection.  I
don't think dental is the culprit, what do you think with the
following?

No bleeding or tenderness of the gums, teeth are not sensitive to
temperature, minor dull pain in the back teeth.  Otherwise, no other
problems with teeth. Tongue and cheeks are covered in chalky texture in
the morning along with a sore throat.  This is different than my
regular morning breath.
Galen Musbach - 20 Oct 2005 10:07 GMT
>Thanks.  I'm trying to eliminate possible causes of my persistent bad
>breath.   My CT scan for sinuses came back clear for an infection.  I
[quoted text clipped - 6 lines]
>the morning along with a sore throat.  This is different than my
>regular morning breath.

That sounds like a yeast infection to me --
although I have no medical training.

Have you been taking steroids and/or antibiotics?
They can have weird side effects.

-Galen
tdonline - 22 Oct 2005 16:50 GMT
I had the problems well before trying augmentin, which actually helped
the bad breath slightly.  A week after finishing the augmentin, the bad
breath and coated tongue returned full force.  Just saw the ent and her
new diagnosis is LPR, refluxing stomach acid into my throat.

I actually got an inkling that I had reflux while on augmentin because
I got such awful gastrointestinal side effects.  The strange thing is
that the sore throat and weird tongue coating were largely absent
during this time.  This is why I haven't fully accepted the ent's lpr
diagnosis.  It doesn't make sense with the timeline of symptoms.  But
on the other hand, I can't seem to find any other reason for my
problem.  Ent said my tonsils aren't the problem either.
 
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