Can A Sinus Infection Lead to Tooth Pain?

Can A Sinus Infection Lead to Tooth Pain?

The short answer is yes but distinguishing between the two can be tricky. Your dentist will be able to perform certain tests and take certain x-rays to determine if it is indeed a tooth causing your pain or a sinus problem mimicking tooth pain.

What are sinuses? Sinuses are interconnected spaces in the skull that all lead to the nasal passageways. Their job is to filter, moisten, and warm the air that you breath in. The largest sinuses in your head are a pair of sinuses called the Maxillary Sinuses. They are located just above your upper back teeth. In fact, the roots of the upper molars can often extend into the maxillary sinuses.

This means that whenever the sinuses are inflamed from infection (sinusitis/sinus infection) or seasonal allergies for example, the roots of the upper back teeth can be affected, resulting in tooth pain.

The opposite can be true as well. In the event that you have an infected upper molar, you can even develop a sinus infection that originates from the tooth. This further emphasizes the ambiguous relationship between the teeth and sinuses.

Although it is difficult to differentiate between tooth and sinus pain, there are some unique signs that point towards an issue in the sinuses:

  • Sinus pain typically affects the upper molars. If your toothache is coming from a bottom tooth, then the sinuses are an unlikely cause.
  • Usually more than 1 tooth on that side hurts and it can’t be narrowed down to a single tooth. Pain originating from a tooth is usually more intense and specific to 1 tooth.
  • Sinus pain is often worse when you bend over, jump/stomp your feet, and lie down. Tooth pain on the other hand, is usually not affected by positional changes.
  • Pressure around your cheek, eye, forehead, and nose.
  • Mucous discharge that is thick and discolored. Nasal drip with a bad taste.
  • Pain and a feeling of “fullness” in the ears.
  • Altered sense of taste and smell.
  • Runny or blocked nose.

If you have pain in your teeth, it is very important that you see your dentist as soon as possible for evaluation. Your dentist will be able to determine if the pain you are feeling is really from the teeth (cavities, gum disease, etc.) or from something else. If your dentist rules out teeth as the cause of pain, he/she may refer you to a physician for further evaluation.

If you can’t make it to your dentist and/or physician right away, these home therapies may provide some relief for tooth pain caused by sinus inflammation and pressure:

  • Use saline to flush sinuses (Nasal Lavage).
  • Drink a lot of water. Adequate hydration thins out mucous and allows for better drainage of the sinuses.
  • Use air humidifier and make sure your head is tilted on your pillow when you sleep.
  • Over-the-Counter Decongestants/Expectorants (i.e., Pseudoephedrine)
  • Eat spicy food (if you can tolerate it).
  • Your dentist or physician may prescribe you additional medications such as antibiotics, stronger decongestants, allergy medication, pain relievers, nasal steroid spray, etc.

If you have questions, if you are experiencing dental pain, or if you are overdue for a dental check-up, please schedule an appointment today!

Roseman Dental & Orthodontics (Henderson, NV)
Roseman Dental (South Jordan, UT)

Author: Dr.Matthew Thacker, DMD, BS

Same-Day Crowns (CAD/CAM)

Same-Day Crowns (CAD/CAM)

When a tooth has become damaged from decay or fracture, sometimes a crown (cap) is required to restore the tooth back to its full strength and chewing function. A crown is a covering that completely surrounds the part of your tooth that is above the gum line. The first stage of a crown procedure is called the “preparation” where the dental decay is removed, and the tooth is shaped so that it will fit perfectly inside of the crown.

At this point in the traditional crown process, an impression (mold) of the tooth would be taken and sent to an off-site dental laboratory, where the crown is fabricated. This process can take between 2-3 weeks. In the meantime, a temporary crown is made from acrylic (yes, the same acrylic that fake nails are made of) and cemented to the tooth with temporary cement. At the second appointment 2-3 weeks later, the temporary crown is removed, the tooth is cleaned, and the permanent crown from the lab is permanently cemented.

Recent technological developments in dentistry called Computer-Aided Design/Computer-Aided Milling (CAD/CAM), now allow us to manufacture permanent dental crowns in the clinic within minutes, as opposed to 2-3 weeks. This permanent crown is then cemented during the same visit as the crown preparation.

With the new CAD/CAM method, after the crown is shaped, a wand-like device called an intra-oral scanner is used to take 3D images of the crown preparation and surrounding teeth. After less than a minute, the computer connected to the scanner generates a 3D digital replica. While you are waiting, the software designs the crown to perfectly fit your tooth, bite, and esthetics.

A special block of dental ceramic (porcelain) is selected in a shade (color) that matches the color of the surrounding teeth for a completely natural appearance. This block is then mounted inside of the milling unit. The milling unit is a machine with 3 robotic arms, 2 of which have dental drills attached to them. The 3rd arm holds the ceramic block.

Once the crown design is transmitted from the scanning computer to the milling unit, the manufacturing process starts. In less than 10 minutes, the milling unit carves the crown out of the ceramic block. The finished crown is polished and bonded to the prepared tooth. No need for any additional appointments.

The advantages are, only 1 appointment is required, you only need to get numb once, and no time is spent wearing a temporary crown. Same-day crowns have been shown to be just as strong, natural in appearance, and long-lasting as traditional lab-made crowns.

Starting in February 2023, we are pleased to start offering same-day crowns at our Henderson, NV location – Roseman Dental & Orthodontics. We are excited to continue offering our patients the latest in dental technologies and treatment options. If you are in the Las Vegas Valley and are interested in seeing how same-day crowns can help restore your smile, contact us today!

Author: Dr.Matthew Thacker, DMD, BS

Teeth Whitening: The Pros & Cons

Teeth Whitening: The Pros & Cons

Have you ever wondered what it would feel like to have a bright, white and beautiful smile? A radiant grin can be an instant boost of self-confidence and when we look our best, we can feel our best. Luckily, teeth whitening can help us achieve that dream smile that is easily achievable with the wide range of whitening options we have today. So, you may be wondering: what exactly is teeth whitening? Teeth whitening involves brightening one’s teeth while improving discolorations or stains left behind by certain types of foods and drinks we regularly consume. It is a popular and safe cosmetic dental procedure that typically contains one of two active tooth ingredients- hydrogen peroxide or carbamide peroxide, which break down teeth stains into smaller pieces and make discolorations less apparent.

To help you determine if teeth whitening is right for you, today, we’re focusing on some of the pros and cons of teeth whitening!

Pro: You will gain a boost of confidence.

The largest benefit of teeth whitening is cosmetic. Your teeth will appear brighter and more appealing which will give you that confidence to show off your pearly white smile. Having a smile you are proud of will also help you show up more confidently and be less self-conscious about your smile.

Con: You may experience mild to moderate tooth sensitivity.

When a high concentration of tooth bleach is used and applied for long periods of time, you may begin to experience mild to moderate tooth sensitivity as well as gum irritation. This is because some whitening treatments can be harsh on enamel, leading to an increase in sensitivity. Fortunately, this issue will typically resolve in a few hours or days and can be decreased with the use of sensitivity toothpastes such as Sensodyne.

Pro: You have a plethora of whitening options to choose from that are convenient, low-cost and safe.

There are many options for teeth whitening today and those can include at-home products, from strips to gels to trays, as well as whitening products that can be applied professionally at your dentist’s office. Since there is a variety of whitening options, you can comfortably choose the option that is most convenient for you!

Con: Results won’t last forever.

After your teeth are exposed to things like coffee, wine or tobacco, it is very likely that your teeth will begin to lose their brightness and may yellow over time. In order to maintain a bright, white smile, it is important that teeth whitening or touch-ups are redone periodically. Along with maintaining brightness, it is even more crucial to maintain healthy teeth by continuing to brush your teeth twice a day as well as floss daily.

Pro: Results from teeth whitening are fast.

With at-home whitening kits, application typically takes a short amount of time, and you can expect to start seeing results after only a few treatments. With professional teeth whitening, results are typically even faster and can be noticeable as early as a day after treatment.

Con: Teeth whitening will not change the color of your crowns and fillings.

Unfortunately, teeth whitening cannot brighten or change the shade of your existing dental work and may cause teeth to look patchy as your natural teeth change shades while your restorations remain the same color. Teeth whitening may also not be effective on all types of stains and discolorations; therefore, it is important to keep expectations of teeth whitening in check.

If you’re looking to brighten your smile and boost your confidence with a radiant grin, don’t hesitate to reach out to the us to further discuss the best teeth whitening options for you.

If you are interested in our recommended at-home whitening kit, we are currently offering the Opalescence Go Tooth Whitening Trays*, which are both affordable and convenient. All proceeds will go towards supporting the Class of 2023 orthodontic residents’ graduation fund. Happy whitening!

*These whitening kits are only available at our Henderson, NV location – Roseman Dental & Orthodontics.

Author: Dr. Joy Tawadrous


Dental 360° – Nevada November Issue

Dental 360° – Nevada November Issue

The holidays are just around the corner! In this November issue of Dental 360°, you’ll learn about how using nicotine in any form is bad for your oral health, get the facts about why you shouldn’t put off getting dental pain checked out, and find out how to plan ahead to start the new year off right. Plus, you’ll learn about why sleep is so important to the body’s overall health.

Roseman Dental & Orthodontics’ Dental 360° is a monthly e-newsletter. Each month you’ll receive a panoramic view of dental health. Dental health is key to your overall health and here at Roseman Dental & Orthodontics, we are dedicated to improving not only your mouth, but your whole self. At our clinic we have an excellent team of licensed dentists, orthodontists, orthodontic residents – 30 to be exact, and dental residents all focused on you and your family’s oral health. Roseman Dental & Orthodontics has been serving its community since 2009 and is a comprehensive, one-stop shop for all your dental needs including dental, orthodontic and craniofacial cleft lip & palate treatment.

We hope you find Dental 360° helpful and informative. We look forward to connecting with you each month.

Dental 360° November Articles

Why Nicotine Is Bad for Oral Health
Dental Pain Is Something You Shouldn’t Ignore
Get A Jump on Your Dental Health for the Holidays
Sleep – Our Body’s Best Healer


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Why Nicotine Is Bad for Oral Health

Why Nicotine Is Bad for Oral Health

Using nicotine comes with so many health risks, from lung cancer to heart disease to harming others with secondhand smoke. According to the American Dental Association, smoking accounts for about 20% of deaths in the United States. It hurts the whole body, but it’s especially dangerous for oral health.

The mouth is the entry spot for nicotine, no matter what form it’s in. Consuming nicotine through smoking, using smokeless tobacco, or vaping restricts blood flow to the gums, which can cause or exacerbate periodontal disease. It can also lead to stained teeth, excessive plaque and tartar buildup, periodontitis (or losing the bone that anchors teeth to the jaw), receding gums, chronic bad breath, gum disease, and tooth loss. In fact, according to the CDC, about 43% of current smokers over the age of 65 have lost all of their teeth.

It doesn’t stop there. Someone who smokes is at ten times the risk of oral cancer than someone who doesn’t smoke. Because the carcinogens and toxins weaken the body’s immune system while warping cell growth, fighting off cancer is harder too.

Using e-cigarettes, or vaping, is sometimes considered safer than smoking cigarettes. That’s a myth. Vaping still brings nicotine into the mouth, body, and bloodstream. It leads to many of the same issues as smoking with an additional one: dry mouth, which can cause mouth ulcers, tooth decay, and bad breath.

Nicotine is an extremely addictive substance. Quitting, or helping someone quit, can be tough – but you don’t have to do it alone. Your dental care provider can be a great resource. If you’re in need of some support, make an appointment with Roseman Dental.

Learn more about oral pre-cancers from Dr. Kishore Chaudhry in Roseman’s College of Dental Medicine

Dental Pain Is Something You Shouldn’t Ignore

Dental Pain Is Something You Shouldn’t Ignore

Dental pain is a sign that something is wrong. While that toothache may not seem like a big deal today, it could turn into an even bigger problem if ignored for too long. Dental problems won’t go away on their own. In fact, they’ll get worse without treatment. They’ll also become more expensive and time-consuming to treat as time goes on.

An aching mouth is most typically a sign of a cavity, or tooth decay. Regular check-ups every six months will help catch cavities before they become major nuisances. Only a dentist can identify and fix a cavity. Left undiagnosed and untreated, tooth decay can lead to eventual root canals, crowns, and tooth loss.

Pain can be a sign of an infection. Left untreated, the infection can spread beyond the mouth and cause major health problems – even sepsis, a condition caused by the immune system’s toxic response to an infection. Sepsis can lead to septic shock and death.

Sensitive teeth can also lead to pain. While there isn’t an immediate danger to tooth sensitivity, there’s no reason to deal with discomfort when there are remedies for the issue.

Other causes of dental pain are damaged fillings, impacted wisdom teeth, gum disease, and TMJ caused by grinding or clenching the teeth. Only a dentist can identify the problem, eliminate any other issues that may be causing pain, and provide the best treatment plan.

Don’t ignore something that hurts. Make an appointment with Roseman Dental and get your smile back on track.