Unknown/diagnosed gum/teeth/palet pain

[richardvilla]

HI all I am new on here and really hope someone might have a clue what i am suffering.

It all started in May 2015, I had a bad sinus infection or sinisitus. I already suffer from allergic rhinitis and vasamotor rhinitis. I woke up one morning thinking someone was taking my tooth out with pliers, the pain was horrid.

The sinus problem kind of cleared up by the October, but from the July (still 2015) and up to this very day (over 1 year) I have chronic gum pain. Asd i am sitting here typing away, my upper left wisdom tooth and the one in front ache, and random teeth along the left side ache. It feels like my teeth are being pulled at.

The worst is when i go to bed. Whatever side I lye one, my upper gums/ teeth hurst, almost like they are just far too sensitive to the air im breathing in. I also have a few problems with my left ear, almost as if the nerve that connects the two is been clipped.

I have woke up in the middle of the night with my gums aching for fun, but the pain isn't severe enough to wake me. Just getting comfortable when trying to sleep can be a problem though.

Sometimes i have woke up with blood in my mouth, which i know indicates bruxism.

I have been to see an ENT specialist and..
I have had a CT scan of the sinus, everything seems okay apart from an "unusual anatomy of the nose".Theres no problems with my brain too apparently.

I have had an xray of my mouth and been to the dentist 3 times. They cannot see anything the matter.

Trigeminal Neuralgia was mentioned as a possibility, but I dont think i get the severe facial pains associated with it (and hence the specialist wanting to check my brain).

The gum surrounding the wisdom tooth seems swollen and has been for a year or so, but the dentist is ignoring this.

I am going back to the dentist in 2 weeks to have a mould fitted to prevent any clenching, if indeed thats what im doing.

Has anyone else had similar to me? I'd love to know for piece of mind.

Thank you

 

[Dentgr]

Blood in your mouth does NOT indicate bruxism.

 

[svor1988]

The sinus problem kind of cleared up by the October, but from the July (still 2015) and up to this very day (over 1 year) I have chronic gum pain. Asd i am sitting here typing away, my upper left wisdom tooth and the one in front ache, and random teeth along the left side ache. It feels like my teeth are being pulled at.

This corresponds with the wax and wane of infection, where your body fights it off, it mutates and spreads again.

The worst is when i go to bed. Whatever side I lye one, my upper gums/ teeth hurst, almost like they are just far too sensitive to the air im breathing in. I also have a few problems with my left ear, almost as if the nerve that connects the two is been clipped.

You may find as I did, that sleeping on one side, or even upright improved things the next day.

I have been to see an ENT specialist and..
I have had a CT scan of the sinus, everything seems okay apart from an "unusual anatomy of the nose".Theres no problems with my brain too apparently.

You may get the CT scan from them if you wish, and look at it using free software on your computer. Post screenshots of your maxillary floor. And xrays too.

I have had an xray of my mouth and been to the dentist 3 times. They cannot see anything the matter.

Trigeminal Neuralgia was mentioned as a possibility, but I dont think i get the severe facial pains associated with it (and hence the specialist wanting to check my brain).

I suspect maxillary sinusitis. Caused by a tooth root perforating the maxillary floor. https://en.wikipedia.org/wiki/Maxillary_sinus#Maxillary_sinusitis
The tooth may be dead and be harboring infection- is there cold/hot sensitivity on it? Had your dentist done these tests? Aside from that, oral flora may travel along this perforation into your sinus, and sinus flora may travel along the perforation into your mouth. Your body's defense mechanisms are overwhelmed.

The gum surrounding the wisdom tooth seems swollen and has been for a year or so, but the dentist is ignoring this.

If my hypothesis is correct, this would be where the root perforating your sinus is.

Has anyone else had similar to me? I'd love to know for piece of mind.

Yes I did. I was bedridden for a month, and would have died without antibiotics. The infection spread laterally and vertically, invading my entire palate, and causing pressure/inflammation on the above eye to the point it was almost unusable.

Treat the maxillary sinus 1-2x daily with a saline rinse, and as needed for pain. This was something my ENT speciallist never told me till very late... it was always antibiotics he prescribed. Sometimes the antibiotics did not help. The saline rinse was far better, and made a world of difference. Familiarize yourself with the maxillary sinus anatomy.

I see two approaches/outcomes given my hypothesis is correct: 1) Your treatment + body may fight off the infection long enough for the sinus floor to lift on it's own, sealing the perforation, or 2) The perforating tooth is extracted, and the perforation is closed that way. The approach depends on if that tooth is dead or not. If it is dead, I'd suggest extraction instead of a root canal, as in my case the root canal did not help any. For 8+ months after the root canal I still endured the symptoms until somehow I knew it had to be extracted, very soon after extraction my symptoms went away, my sinus floor lifted, and I got better!

My hypothesis does not explain the blood in your mouth, that is not something I experienced. Is it just a little, as if from your gums after you've brushed your teeth?

I lost a great deal of work due to this condition. Lost a lot of soft tissue on my hard palate due to the chronic infections, such that I must permanently hold my tongue on the roof of my mouth or experience sharp and tear inducing pain. Somehow my saliva production was severely decreased, such that I have dry mouth now.