Tooth pain and sinuses sensitivity

Hi Y'all

Here is my last discovery related to my old tooth pain. But first of all let me thank all of you who have given ideas and comments to help me to find the cause.

History.
I started having pain in the front tooth 18 months ago or more. Then I had a root canal because the dentist thought it was a problem with the tooth. I continue to have the same pain after the root canal. At the same time I had a bruxism mouth guard made which worsened the pain. So I dindn't use that mouthgueard.

I was using a System One auto and a Headrest not modified when all started. I modified the Headrest (nasal pillows) thinking it was too tight against my nose producing a piggy nose and it was the reason of the pain. This diminished the pain a bit.

Then I thought it could be I was clinching the teeth in the night, the bruxism mouth guard not working I tried a Walmart sport mouthguard. Not much change.

I decided to go see the OSA Dr. He ordered to use a terrible FFM for 3 months, I started doing it. The pain diminished again a bit but the straps were killing my neck. I used it for 6 weeks and then I returned to my Headrest modified. The pain was there but less that at the beginning it was no difference using the nasal pillows or the FFM.

I had the opportunity to buy a S9 auto. The first night I used that machine I saw a big difference with the pain which lowered again. I need to say the S9 delivers pressure in a different way than the System One. It toke me a good month to get used to the new machine but the pain never returned to what it was before. I was still using the Headrest cause I didn't return to the FFM. I decided to sell the System One but one day before doing it I tried it the night. I woke up with the pain as before using the S9 and on top of that when I put the steroids spray I felt a weird kind of pain irradiating from the floor of the sinuses to the front teeth, weird stuff. I sold the System One.

TODAY
Now I was doubting the problem was sinus related, due to the pressure.

I saw my Dr last week again. He asked to reduce the pressure from 9 - 13 cmH2O to 5 - 10 cmH2O and return to see him in one months. He also asked to go see a dentist orthodontist, this one I'm not too inclined to do for now. The thing is the first day I reduced the pressure the pain reduced too. I haven't use the sport mouthguards in the last days, I need to conclude the clinching of the teeth is maybe not the reason of the pain and I maybe don't clinch the teeth as I thought. My Dr. told me he doesn't think I clinch the teeth because I don't have pain in the jaws. Could it be due only to the sinuses irritation?

I think the problem is really related to a nerve irritation (neuralgia). Now which are the possible solutions because I can't continue to reduce pressure without affecting the efficacy of the treatment? The FFM hurts my neck, I can't use it everyday without having a sore stiff neck and it proved to have a reduced impact in the solution.

I made an appointment with the ENT Dr. to see if he can do something with the sinus irritation problem, need to wait 5 weeks to see him. Should I go see the allergies Dr. too ?

What do you think guys? What you can do to alleviate a sinus irritation? Let us make a brainstorming with my case What can I do to reduce the sinuses irritation?

Thanks

Rosie

Hi, Rosacer
Before I put my foot in my mouth, I don't recall if you've tried the SleepWeaver or not. Cause what I'm going to suggest is using the mouthguard and a SW mask. Those of us that use one are quite impressed with it's comfort. (I'm aching to get the E~lan model myself)
I have horrendous bruxing, such that even with the custom mouthguard I sometimes hurt so much i wear the mouthguard for the morning to keep SELF from grinding while under the pain headache of the night before.
I have an older mouthguard that put lots of pressure on my left top eye tooth, and when going to (a new) dentist, I had them reshape the old one some to reduce the pressure point. Also, the two-material mouthguard that my new one is feels like it's cushioned inside- it is. So it helps to reduce the shock and seems to work much better.
Any way, good luck with this pain in the face challenge. Hope something helps. earl

Hi Rosie,

I'm having a little trouble following your story and knowing what your question really is. Are you asking for brainstorming on why you have tooth pain, or just asking for mask suggestions, or something else?

Did you have the root canal 18 months ago because of tooth pain, or are you saying the tooth pain started after the root canal? It's confusing because once a root canal is done, there should be no sensation on that tooth. Are you sure about which tooth is actually in pain? The way nerves run in the mouth, you can get referred pain according to my dentist, even referred pain from top to bottom (and I suppose, from bottom to top?). If the pain started after a dental procedure, should you go back to the dentist that did the procedure to address the post-root canal complication?

Obviously there's no way any of us could know the answer to why you have tooth pain. Mask suggestions are another story, and hopefully people will have suggestions about lighter-weight masks that don't put as much pressure on your mouth/teeth, like the sleepweaver suggestion that was just posted here.

Honestly it does seem time to pursue the referrals your doctor has suggested to the dentist and ENT doctors. If the real problem is sinus problems irritating the tooth root nerve, then addressing the sinus problem would seem a more fruitful pursuit than switching around masks and machines (though I'm sure masks and machines can help or hurt the problem). But it seems like knowing the WHY of the persistent tooth pain is the number one priority.

Sorry this has been an ongoing problem.

U are all going the wrong direction on cause of pain. The cpap machine is the cause of tooth and/or sinus pain. I had severe pain in all top and bottom teeth only on right side as well as right facial and ear pain for the last 2 weeks. Dentist xrays showed no cavities etc--i take VERY GOOD care of teeth. Cpap setting was increased a few months ago and makes me breath thru mouth when asleep causing totally dried out mouth. This fact as well as no dental problems makes me think the 2 are related. One person suggested using tape to keep mouth closed while asleep. I really think this will work. Beats the dentist's stupid a-- idea to replace fillings/do root canals/extractions. She's not going to charge me a fortune for her ignorance to be her human guinea pig. People need to start thinking for themselves and take some control of their health. If your gut feeling is the doctor is not getting it right--stop! Don't let them do all kinds of things to just b/c they don't really know what's wrong and they are reaching to try anything only HOPING one of them will work.

Have you tried Sensodyne Toothpaste and maybe a Fluoride mouthwash before you go to sleep. At least that can minimize some of my pain.

HOWEVER: I suspect that might not be much related to our issue at all.

Do you have Bruxism? Grind your teeth at night? Probably not or you would have told us.

I had some really painful issues with pain in my TMJ from using an APAP machine at a pressure of 15 and above. Some dentist gave me advice I did not like, which was to use my first two fingers to massage the TMJ in a circle for five minutes severals times a day. That does help, a lot. WHOLE LOT. But the better resolution was when I went to an bi-Level machine.

PR calls their Bi-Level machine a Bi-Pap, and Resmed calls theirs a VPAP.

What happened in my case was that, as sinuses are connected all around the face, the pressure would build up in little places that were not supposed to have higher pressure than the surrounding area.

In your case, I can hypothesize that the air pressure, blows bacteria from your sinus back in the direction of all those little places.

I have discovered that as I had skin infections, when I took antibiotics, that the pain in my teeth went down.

The alternate to taking bacteria is, to boost ones immune system, which a diabetic like me needs to do. I use garlic chips on food. I suspect that Colloidal silver would not hurt either, but I do not take it. Or put another way, when I was a young adult, twenties, thirties, forties, I did not have dental pain, as I had an immune system to clobber the useless little bugs.

I have been told that the reason I might not have so much pain now is that all the nerves in my teeth might have already died.

So take your pick.

I have had two sinus infections in the last few months. Both times the pain went into my jaw teeth. I thought there was something wrong, like a crack or something and contemplated root canal but decided to wait a while. I am at the tail end of an infection now. Sure enough, both times, the pain, manifested by sensitivity to hot, cold as well as chewing pressure, stopped as the sinus infection wound down. So now I know not to subject my teeth to some expensive procedure. I made the decision to purchase a sinus pressure irrigation system. When used regularly, it is said to reduce the instances of sinus infection. So, in my opinion, my CPAP is not the cause of these infections. In fact, with the humidified distilled water, I am probably avoiding additional infections, since breathing humidified air is good for all the internal membraines, etc. Anyway, I'll try the machine.

I have just started using a cpap machine almost two weeks ago. I am now experiencing pain in my upper and lower jaw/teeth on left side. Hot and cold causes severe pain. Sometimes the pain will cause my left ear and head ache. The more I move the more it hurts. My dentist checked my teeth and took a couple of x-rays. No cavity, problems with nerves, did not see any issues. He put pressure on the sinus area, both sides, inside of my mouth. I had pain when he applied the pressure and diagnosed me with sinusitis. Gave me an antibiotic and told me to use a nasal decongestant. So I have been taking the antibiotic for 3 days now and the decongestant for 2 days. Not much has changed. Only a little less pain. I am not convinced this is a sinus infection. When I look up the symptoms for it, it does not say anything about hot/cold sensitivities and it only says your teeth ache and you have pain in you upper teeth. The cold and hot causes me severe pain. Anybody else ever experience this and have any thoughts or ideas of something else it could be. I often wonder if the cpap machine has caused this, as it happened a few days after I started using it. I can see how the cpap machine could cause a sinus infection, but it is hard to believe it could cause these kind of symptoms. On a previous post I see someone else had basically the same issue, only on the right side. Just not a lot of detail there to help answer my question. Has anyone else ever experienced this? Have any thoughts or ideas of what else it could be? Thank you.

Hi guys,

I don't remember if I told what was the problem causing the tooth pain, I know what it was. Sorry if I repeat myself but I don't have time to go read everything and see what I said or not. Here the history.

I saw a dentist, I get Rx of the tooth, nothing she could find but the pain was still there so she decided to make a root canal. After 2 days the pain was still there so she opened the canal and started fishing the possible nerve still present. Nothing changed I still had pain.

I don't remember how I started to think it could be the pressure changes from the machine (a Respironics at the time) making me subconsciously clench the teeth. Yehp, one night I caught myself biting as if I was chewing gum. I also changed from a Respironics to a Resmed, I tested how fast was the pressure reaction on a change, I used a liquid manometer, and I discovered the Resmed was going steadily increasing pressure but the Respironics was blowing strong going up producing a ripple. When I changed to the Resmed I experienced some release but didn't last long. Any way, I started using a mouth guard and finally I make made a real mouth guard by dentist prescription. I use it each night since one year ago and the tooth pain disappeared.

Conclusion, it could be very probable that you are clenching your teeth when the pressure rises up to try to keep the mouth closed as in my case. If Rx doesn't show anything you have maybe anything but bruxism.