DiseasesSinuses and teeth — does chronic rhinitis start in the mouth?
Sources: 8 · Article: 14 479 characters
Igor Dogocki lists dead teeth and metals in the mouth as possible causes of odontogenic sinusitis.
- The maxillary sinuses are connected to the upper molars and some premolars, and disease in the sinuses can cause pain in the upper teeth.
- If your nose is chronically blocked, Dogocki advises not to ignore the symptoms; further diagnostic tests and treatment, especially dental treatment, may help.
What the authors write
Igor Dogocki
Dead teeth, root canal treatment materials, and metals in the mouth are listed as possible odontogenic causes of sinusitis.
„impaired ciliary movement
polyps, thickening of the mucous membrane due to chronic purulent sinusitis (endoscopic examination and FESS surgery, leaving the mucous membrane in the sinuses)
fungal infections (in people with weakened immunity or diabetes)
dry, hot air; exposure to smoke, nano- and microparticles, and air pollution
odontogenic causes such as dead teeth, materials used for root canal treatment, and galvanic microcurrents that form in the mouth when there are metals in the teeth (e.g. crowns, bridges, metal implants, black amalgam fillings)”upośledzenie możliwości ruchu rzęsek
polipy, pogrubienie śluzówki na skutek przewlekłych ropnych zapaleń zatok ( badanie endoskopowe i zabieg FESS z pozostawieniem błony śluzowej w zatokach)
zakażenia grzybicze ( u osób z upośledzoną odpornością czy cukrzycą)
suche gorące powietrze, ekspozycja na dymy, nano i mikropyły i zanieczyszczenia z powietrza
przyczyny zębopochodne jak martwe zęby, materiały wykorzystywane do leczenia kanałowego, mikroprądy galwaniczne powstające w ustach gdy w zębach obecne są metale (np. korony, mosty, implanty metalowe, czarne plomby amalgamatowe)
Igor Dogocki
The maxillary sinuses are connected to the upper molars and some premolars, and upper tooth pain may accompany sinus disease.
„The sinuses are connected to, often, the upper molars and some premolars, so they affect each other. In somatotopic organization, the maxillary sinuses are connected to the teeth, thyroid, stomach, and pancreas (so their condition is affected by these organs—their proper functioning being ensured or not ensured by, for example,”Zatoki połączone są z często z górnymi zębami trzonowymi i częściowo przedtrzonowymi, przez co wpływają na siebie nawzajem. W organizacji somatotopowej zatoki szczękowe będą połączone z zębami, tarczycą, żołądkiem, trzustką (a więc na ich stan mają wpływ te narządy – ich dobre funkcjonowanie zapewnione bądź nie zapewnione przez np.
Igor Dogocki
Igor Dogocki also lists infections, allergies, the structure of the nose, polyps, and air pollution as possible causes of sinusitis.
„According to her, possible causes of sinusitis include:
chronic acidification of the body (an improper diet)
bacterial infections (a swab or fluid from the sinus opening can be collected to select a targeted antibiotic) or viral infections
generalized inflammation of the mucous membranes throughout the body
allergies and food intolerances (allergy tests)
anatomical structure that promotes mucus buildup, a deviated nasal septum, or genetic factors such as impaired ciliary movement
polyps, thickening of the mucous membrane due to chronic purulent sinusitis (endoscopic examination and FESS surgery, leaving the mucous membrane in the sinuses)
fungal infections (in people with weakened immunity or diabetes)
dry, hot air; exposure to smoke, nano- and microparticles, and air pollution
odontogenic causes such as dead teeth, materials used for root canal treatment, and galvanic microcurrents that form in the mouth when there are metals in the teeth (e.g.”Według niej, przyczynami zapalenia zatok mogą być :
przewlekłe zakwaszenie organizmu ( niewłaściwa dieta)
infekcje bakteryjne ( można pobrać wymaz lub popłuczyny z ujścia zatok i dobrać celowany antybiotyk) czy wirusowe
uogólnione stany zapalne błon śluzowych w całym organizmie
alergie i nie tolerancje pokarmowe ( test alergiczne)
budowa anatomiczna sprzyjająca zaleganiu śluzu, krzywa przegroda nosa czy czynniki genetyczne np. upośledzenie możliwości ruchu rzęsek
polipy, pogrubienie śluzówki na skutek przewlekłych ropnych zapaleń zatok ( badanie endoskopowe i zabieg FESS z pozostawieniem błony śluzowej w zatokach)
zakażenia grzybicze ( u osób z upośledzoną odpornością czy cukrzycą)
suche gorące powietrze, ekspozycja na dymy, nano i mikropyły i zanieczyszczenia z powietrza
przyczyny zębopochodne jak martwe zęby, materiały wykorzystywane do leczenia kanałowego, mikroprądy galwaniczne powstające w ustach gdy w zębach obecne są metale (np.
Igor Dogocki
Sinusitis may cause pain or a feeling of pain in the upper teeth.
„“Sinus headaches” have very characteristic features:
Pain, pressure, and fullness in the cheeks and forehead
Pain that worsens when bending over or lying down
Nasal discharge, which may run down the back of the throat and cause coughing
Swelling of the soft tissues around the eyes and a reduced sense of smell
The upper teeth may throb with each step while walking
A feeling of pain in the upper teeth
Bad breath”„Zatokowe bóle głowy” mają bardzo charakterystyczne cechy:
Ból, ucisk i pełność w policzkach, czole
Nasilający się ból w przypadku schylania się lub kładzenia
Wydzielina z nosa, może spływać po tylnej ścianie gardła, powodując kaszel
Obrzęk tkanek miękkich w okolicy oczu i pogorszenie węchu
Podczas chodzenia przy stąpaniu mogą pulsować górne zęby
Uczucie bólu w zębach górnych
Brzydki zapach z ust
Igor Dogocki
Igor Dogocki links the feeling of blocked sinuses to excess mucus, which may occur, for example, during an infection.
„The feeling of “blocked” sinuses is linked to excess mucus, such as mucus produced as a result of an infection. Mucus is a normal and essential body fluid secreted by the mucous membranes. Among its many important functions is preventing tissues from drying out.”Uczucie „zablokowanych” zatok wiąże się z nadmiarem śluzu np. występującego z powodu infekcji. Śluz jest normalnym i niezbędnym płynem ustrojowym, który jest wydzielany przez błony śluzowe. Do jego wielu ważnych funkcji należy m.in. zapobieganie wysychaniu tkanek.
Igor Dogocki
Igor Dogocki writes that further diagnostic tests and treatment, especially dental treatment, may help relieve a blocked nose.
„Sinusitis will go away when we eliminate the causes and thus allow the tissues to regenerate on their own and stop producing troublesome, stagnant mucus. The causes may overlap, but further diagnostic tests and treatment, especially dental treatment, may help you get rid of a blocked nose. You will be able to breathe freely again and enjoy everyday activities.”Zapalenia zatok ustąpią, w momencie kiedy wyeliminujemy przyczyny ich powstawiania i tym samym pozwolimy, aby tkanki same się zregenerowały i przestały produkować uciążliwy zalegający śluz. Przyczyny mogą się na siebie nakładać, ale poszerzona diagnostyka i leczenie, w szczególności stomatologiczne, może pomóc Tobie uwolnić się od zatkanego nosa. Możliwe będzie znowu swobodne oddychanie i codzienne przyjemności.
Igor Dogocki
Igor Dogocki advises not to ignore a chronically blocked nose.
„If you or a family member suffer from a chronically blocked nose, do not ignore the symptoms. Initial studies have already linked chronic sinusitis to changes in the brain. Chronic inflammation of the nose, which causes persistent nasal blockage and headaches, among other symptoms, affects around 11–30% of adults, particularly older age groups—and an increasing number of children.”Jeśli ty lub członek rodziny cierpicie na przewlekły zatkany nos, nie ignoruj objawów.Pierwsze badania wiążą już przewlekłe zapalenie zatok ze zmianami w mózgu. Przewlekłe zapalenie nosa, które powoduje między innymi uporczywy zatkany nos i bóle głowy, dotyka około 11-30% dorosłych osób, szczególnie w starszych grupach wiekowych – i coraz więcej dzieci.
Research from PubMed · Europe PMC
We selected 5 studies with the best, positive results. This is a selection, not a full review of all research.
Total number of studies on this topic in PubMed: 149.
In about two-thirds of patients with odontogenic sinusitis, dental treatment and conservative treatment were enough to cure the condition without sinus surgery.
Aim of the study: The treatment options for odontogenic sinusitis (OS) include medical management including antibiotics and saline nasal irrigation, endoscopic sinus surgery (ESS), and dental treatment. The purpose of this study was to evaluate whether OS caused by dental caries and periapical abscess can be cured by dental treatment alone and which patients should consider surgery early.
Results: Among the 33 enrolled patients, 22 patients (67%) were cured with dental and medical management, and 11 patients (33%) required ESS after the failure of dental and medical management. Based on the multivariate analysis results, patients who were smokers (OR 33.4) and had a higher Lund-Mackay score on CT (OR 2.0) required ESS after the failure of dental and medical treatment. Two-thirds of the patients with OS caused by dental caries and periapical abscess were cured with dental treatment and medical management without ESS. We recommend dental treatment and medical management first in OS caused by dental caries and periapical abscess. However, we recommend early ESS in patients with smoking habits and severe CT findings of the sinus.
Money for the studyuniversity or foundation · College of Medicine, Hanyang University
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyobservation of people
Participants33
“Not stated” does not mean nobody paid — the database does not always record it.
The review emphasizes that a tooth infection can cause maxillary sinusitis and that cooperation between a dentist and an ear, nose, and throat specialist is needed for diagnosis and treatment.
Aim of the study: Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion.
Results: The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multi-disciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.
Money for the studygovernment, public institutions · Beijing Municipal Science and Technology Commission, National Natural Science Foundation of China (National Science Foundation of China)
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?NO
Type of studyreview of many studies
“Not stated” does not mean nobody paid — the database does not always record it.
The summary indicates that chronic sinusitis may have a local dental source, although its causes are varied.
Aim of the study: Chronic Rhinosinusitis (CRS) is a common disease with a major impact on quality of life. Its etiology is multifactorial and the causal pathology is an inflammation and not an infection.
Results: In order to indicate and plan surgical treatment, CT-scans are necessary. Furthermore, diagnostic tools such as allergy tests, olfactory assessment, laboratory and microbiologic examination, biopsies and tests for aspirin hypersensitivity complete the diagnostic pathway of CRS. The therapeutic approach is local and if necessary oral application of steroids, nasal saline douche and oral long term antibiotics. If this conservative therapy leads to no effect, surgical treatment in terms of functional endoscopic sinus surgery (FESS) has to be considered.
Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies
“Not stated” does not mean nobody paid — the database does not always record it.
The study found that maxillary sinusitis may be associated with various problems affecting the teeth and the tissues around them.
Aim of the study: Introduction: Odontogenic sinusitis (ODS) is an underrecognized cause of maxillary sinus inflammation and is frequently associated with dental, periodontal, endodontic, and iatrogenic factors. Accurate identification of the odontogenic source is essential for appropriate treatment planning.
Results: These findings were organized into 16 radiologic categories reflecting the principal etiologic pathways of ODS. The proposed classification facilitated correlation between radiologic presentation and the recommended dental, surgical, and otolaryngologic treatment approach. Conclusions: CBCT is a valuable imaging modality for identifying odontogenic causes of maxillary sinus inflammation and provides more precise diagnostic information than conventional radiography alone. A structured CBCT-based evaluation may improve etiologic diagnosis, support multidisciplinary decision-making, and help guide individualized management of patients with ODS.
Money for the studyuniversity or foundation · Wroclaw Medical University
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?NO
Type of studyobservation of people
Participants85
“Not stated” does not mean nobody paid — the database does not always record it.
In many patients with unilateral chronic sinusitis, changes at the tooth roots or oroantral fistulas were found.
Aim of the study: To evaluate the prevalence of dental-origin pathologies and dentally related anatomical variants in patients with unilateral chronic rhinosinusitis with or without nasal polyposis undergoing surgical treatment and to explore their association with unilateral nasal polyposis.
Results: Of the 107 patients analyzed, 25 (23%) reported a history of dental disease or intervention involving the adjacent tooth. Periapical radiolucency was identified in 67 patients (63%) and oroantral fistulas in seven patients (6%). Seventy-eight patients (73%) demonstrated radiological evidence of mucosal thickening. Among the 78 patients with radiological findings suggestive of odontogenic involvement, the most common histopathological findings were unilateral inflammatory sinonasal polyps in 41 patients (53%) and chronic inflammatory changes consistent with sinusitis in 26 patients (33%). Antrochoanal polyps were identified in four patients (5%). These findings indicate frequent coexistence of odontogenic and inflammatory sinonasal findings in unilateral disease.
Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyobservation of people
Participants107
“Not stated” does not mean nobody paid — the database does not always record it.
Perspectives and opinion materials
The content below presents the authors’ opinions, interpretations and hypotheses. It is not treated as equal to scientific studies and systematic reviews.
Orthomolecular Medicine News Service Opinion material
„And even though I had infected teeth adjacent to those sinuses extracted in the past, it never really seemed to improve the chronic sinusitis with which I was afflicted. It was these chronic conditions that resulted in my experimenting a great deal with the nebulization of a large number of different agents for several months to a year, starting several years ago when I first realized the therapeutic potentials of nebulization while researching the literature for my book, Magnesium: Reversing Disease.”And even though I had infected teeth adjacent to those sinuses extracted in the past, it never really seemed to improve the chronic sinusitis with which I was afflicted. It was these chronic conditions that resulted in my experimenting a great deal with the nebulization of a large number of different agents for several months to a year, starting several years ago when I first realized the therapeutic potentials of nebulization while researching the literature for my book, Magnesium: Reversing Disease.
Orthomolecular Medicine News Service Opinion material
„However, other metabolic enzymes are blocked as well, causing weakness, joint pain, insomnia, rashes, muscle pain, headaches, infections, sinusitis, chest pain, and peripheral edema. While the benefits of utilizing a drug may outweigh the risks, it is important to note that medication usually does not correct the condition which caused a chronic health problem in the first place. Drugs are often designed to take care of the symptom but not the root of the problem. This highlights a very relevant philosophical difference between orthomolecular medicine vs conventional medicine approaches to health.”However, other metabolic enzymes are blocked as well, causing weakness, joint pain, insomnia, rashes, muscle pain, headaches, infections, sinusitis, chest pain, and peripheral edema. While the benefits of utilizing a drug may outweigh the risks, it is important to note that medication usually does not correct the condition which caused a chronic health problem in the first place. Drugs are often designed to take care of the symptom but not the root of the problem. This highlights a very relevant philosophical difference between orthomolecular medicine vs conventional medicine approaches to health.
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