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Patients with odontogenic sinusitis may present with symptoms similar to those of other forms of sinusitis, such as nasal congestion, purulent nasal discharge, facial pain or pressure, and a reduced sense of smell. However, the presence of dental pain, foul smell, or a history of recent dental procedure might suggest an odontogenic source.
Pain can also be referred to the upper teeth and be mistaken for toothache. [4] Another symptom is the movement of fluid from the mouth through the communication and into the maxillary sinus, as the maxillary sinus is connected to the nose and therefore fluid can come out of the nostrils when drinking. [3]
Sharp, shooting pain when you eat or drink something cold, hot, sweet or sour, or when you put pressure on the tooth could be a sign of a cavity, cracked tooth or even an exposed tooth root, per JADA.
Cases have also been reported with bicycle tyre inflation, [1] whistling, [1] nose blowing, [1] cough [1] and valsalva manoeuvre to clear the ears. [1] It can be an iatrogenic effect of dental treatment, [ 1 ] spirometry , [ 1 ] and positive pressure ventilation . [ 2 ]
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In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
The diagnosis of toothache can be challenging, [35]: 80, 81 not only because the list of potential causes is extensive, but also because dental pain may be extremely variable, [44]: 975 and pain can be referred to and from the teeth. Dental pain can simulate virtually any facial pain syndrome. [44]
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