My upper molar is close to the sinus. Please provide me an opinion on my X-ray.

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There does appear to be a radiolucent shadow in that upper molar area. But we need to correlate the findings with your symptoms. What are your symptoms?

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My initial diagnosis is that the extracted tooth has left a gap whereby the food and saliva are entering the respective sinus, the left maxillary antrum. After that, it is causing the multitude of sinonasal symptoms on you. We need to have a dental evaluation done for you. Additionally, an office nasal endoscopy will be helpful to check the condition of sinus Ostia through the nasal cavity. A clear CT scan of nose and sinuses are required to see if the inner lining of any sinus is infected or inflamed or if there is any debris inside the sinuses. Depending on the findings, you may need surgical management if necessary conservative techniques fail. I would like to know a few more things. Is there any nose block or discharge from nose or decreased sense of smell? Is there any constant or recurrent post nasal drip? Do you have asthma? Are you a diabetic or a hypertensive? Do you take any medications regularly for any purpose? How old are you? What drugs have you tried for these problems? Do you get a fever? Do revert back to me with the details so that we can help you.

Hello,

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You will have to get the investigations I told you. That is CT scan, nasal endoscopy, and a dental evaluation. After that, it will be clear how much the disease has affected, and if there is anything else inside the sinuses. You would be temporarily benefitted by steroid nasal sprays, like Fluticasone nasal spray. Occasional exacerbations may be treated aggressively using a course of antibiotics.