I have impacted wisdom teeth. Can they cause sinus pressure?

Question

Hi doctor,

My age is 25, my height is six feet, and my weight is 158.7 Lbs. I have had nasal congestion since the age of 20. Sinus surgery was done two years ago. ENT doctors have ruled out that there is no problem in the nasal area.

I have four impacted wisdom teeth, unerupted. The upper teeth are hooked and dipped in the maxillary sinus, as per the X-ray and CBCT report. Will the wisdom teeth cause my feeling of nasal congestion and pressure in the maxillary sinus area?

I have attached the reports for your reference.

Kindly help me.

Answer 1

Hi,

Welcome to icliniq.com.

As per your radiology report, I have studied (attachments removed to protect the patient's identity), I believe it is not because of the impacted maxillary teeth.

The presence of an antral polyp can cause obstructions in the nasal passage. An antral polyp is the usual leading presenting cause of sinus congestion or nasal congestion.

So it might be useful for you if you specifically undergo a CBCT (cone-beam computed tomography) for the maxillary sinus region of the whole upper jaw. So you can visualize the defects, if any, in the current period.

You can adopt temporary measures like steam inhalation every day and meditation or pranayama exercises that boost the nasal immunity for nasal congestion. However, if the nasal congestion is troubling you in the long run, then diagnosis through CBCT is mandatory.

If the CBCT report shows the presence of an antral polyp, then endoscopic sinus surgery is a form of sinus surgery that is useful for the elimination of the polyp. Unless the polyp is huge, maxillary full sinus surgery will not usually be recommended.

I hope this was helpful.

Take care.