Tooth Pain & Sinus Congestion
Sinus congestion is the result of inflamed and swollen  sinus cavities, commonly from a sinus infection, according to the Mayo Clinic.  Inflamed sinuses press on the surrounding areas of the face such as the teeth,  aggravating the roots of the teeth. The constant pressure can make you feel like  you have a cavity or a severe toothache.Symptoms
The Consumer Guide to Dentistry states that studies have  demonstrated that frequent sinus infections play into impacted wisdom teeth,  cavities and a tooth fracture. Tooth pain associated with sinus congestion  manifests itself with nasal discharge, sinus pressure and an itchy nose. The  pain in the teeth will come and go and manifest itself as a dull, throbbing  pain. The pain can switch from tooth to tooth over time, according to the  Consumer Guide to Dentistry. Bad breath may also result from sinus  congestion.
Diagnosis
Tooth pain resulting from sinus congestion can be  diagnosed by a dentist. The dentist takes an instrument and taps on all the  upper teeth to locate the pain. If the pain is from sinus congestion, all the  teeth will be sensitive to the tapping, according to the Consumer Guide to  Dentistry. In rare cases, X-rays may be required to identify the problem or to  confirm that the pain is not from a dental issue.
Treatment
Treating sinus congestion associated with tooth pain may  require antibiotics, decongestants, antihistamines and routine nasal washes. The  need will be determined by a doctor. Antibiotics may be used to treat sinus  congestion if it is the result of a bacterial sinus infection. Decongestants are  used to reduce inflammation in the sinus cavity; antihistamines are used to  treat sinus congestion due to allergies and are commonly combined. Nasal washes are used to cleanse the  sinus cavity from impurities and irritants.
Complications
If the nasal congestion is the result of a sinus  infection, you should talk with your doctor. A sinus infection left untreated  can lead to more severe conditions such as an eye infection, brain infection and  bone infection. Seek dental advice before treating  tooth pain or concluding it is the result of nasal congestion.
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