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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Toothache Despite A Normal X-ray Report?

I went to my dentist and had an x-ray on my teeth and he found nothing he could see that could cause my teeth to ache.The pain is very bad.He said it's my sinys dripping.I bdo cough up flem often.I am 77 years old and I can notgo out anymore because of the pain in my teeth on my left upper and lower gums.
my e-mail is: YYYY@YYYY
Fri, 30 Dec 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain it seems that pain in the gums of upper teeth along with sinus dripping and coughing up phlegm can be due to Sinus infection or Sinusitis..
As the floor of maxillary sinus lies close to the root tips of upper teeth therefore inflammation of sinuses can cause pain in gum of upper teeth..
I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation
and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done
accordingly..
You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants
like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room..
You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline..
Avoid spicy and chilled foods..
Do warm compresses around nostrils..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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What Causes Toothache Despite A Normal X-ray Report?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that pain in the gums of upper teeth along with sinus dripping and coughing up phlegm can be due to Sinus infection or Sinusitis.. As the floor of maxillary sinus lies close to the root tips of upper teeth therefore inflammation of sinuses can cause pain in gum of upper teeth.. I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly.. You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room.. You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline.. Avoid spicy and chilled foods.. Do warm compresses around nostrils.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.