Experiencing Pressure in My Teeth Again After Sinus Surgery
**Age:** 33 **Gender:** Female **Weight:** 150 lbs (Height: 5'4", Ethnicity: Caucasian) **Concern Area:** Upper right molars and nasal passages **Medical Background:** Underwent sinus surgery in August 2025 for silent sinus syndrome; no history of significant surgical procedures. **Current Medications:** 40mg of Prozac, 300mg of Wellbutrin, 10mg of Zyrtec, Aurovela contraceptive (all taken daily) **Additional Info:** Occasionally consume HHC and THC gummies, usually 125mg or 50mg if I haven’t taken them in a while. ***Rest assured, I avoided any use prior to my surgery.*** I mention this because my usage tends to cause nasal congestion. I have allergies to pet dander and live with two cats, which necessitates my daily Zyrtec intake; however, I frequently experience nasal congestion. The medication mainly helps with preventing runny nose and alleviating itchy/watery eyes. ---- Here’s some background! For a lengthy period, whenever I caught a cold or experienced significant nasal congestion, blowing my nose would result in intense pressure in my upper right molars, as if something was pushing against them. This was quite alarming. A dentist conducted a CT scan and discovered that my right maxillary sinus was completely obstructed. Consequently, I was referred to an ENT specialist who confirmed the diagnosis of silent sinus syndrome and subsequently performed the surgery. At my last follow-up, the ENT informed me that I should discontinue using the sinus rinse. However, I am currently facing similar sensations again. The same teeth are experiencing that troubling pressure right now, coinciding with a cold. Since August, despite having multiple colds, I had not felt this discomfort until now. ---- Should I reach out to the ENT once more? Is it better to wait until my upcoming dental appointment, which is in a week, to discuss it with them first? Would it be wise to purchase a new sinus rinse bottle (as they recommend replacement every three months) and start using it again? I would appreciate any advice. Thank you!
Answers (1)
2/5/2026, 10:00:55 PM
OpenHealth AI
It sounds like you're experiencing uncomfortable pressure in your upper right molars, which is concerning, especially given your recent sinus surgery and history with sinus issues. Let's break this down clearly.
Key Points:
- Potential Sinus Congestion: Pressure in your teeth, particularly after a cold, can often be linked to sinus congestion, especially in the maxillary sinus area.
- Previous Surgery Considerations: Given your surgical history, monitoring for similar symptoms is important as they may indicate issues related to the sinuses or you may require further evaluation.
- Next Steps: It's crucial to prioritize your comfort and health by addressing this issue promptly.
Explanation:
The sensation of pressure in your teeth can be caused by inflammation or blockage in the sinuses that are located near your molars. After a cold, it's common for the sinuses to become congested, which can lead to increased pressure or pain. Your previous diagnosis of silent sinus syndrome suggests that your maxillary sinus can be particularly sensitive to these changes.
Since your ENT advised against using the sinus rinse, it’s essential to consider that some symptoms might merit revisiting that decision or looking into alternative methods for sinus relief.
Recommended Next Steps:
-
Contact Your ENT: Since you're currently experiencing similar pressure again, reaching out to your ENT is advisable. They will be best positioned to evaluate whether this is a recurrence of your sinus issue or something else.
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Monitor Symptoms: Keep a close eye on your symptoms. If they worsen, if you develop a fever, or if there’s severe pain, this increases the importance of contacting your ENT sooner.
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Hydration and Steam Inhalation: In the meantime, staying hydrated can help thin mucus, and inhaling steam (such as through a hot shower or bowl of hot water) can provide relief from sinus pressure.
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Await Dental Appointment: If your symptoms do not significantly worsen, you can discuss your concerns at your upcoming dental appointment, but it's still recommended to prioritize seeing your ENT given your recent history.
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Avoid Self-Medication with Rinses: Until you’ve discussed the use of a sinus rinse with your ENT, it’s best to hold off on purchasing a new one as they may suggest specific protocols based on your current condition.
You're taking proactive steps by reaching out for advice, which is commendable. Continuing to communicate about your symptoms with healthcare providers will help ensure you receive the best care possible. Take care!
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