Can pain near maxillary 2nd molar be sinus problem?
Patient: I have had pain near maxillary 2nd molar on left side.  Xray showed a large circular space, like an abcess superimposed over the sinus.  I have been in bad pain, taking advil 5 times a day.  I had o go to soft diet and had horrible headache, TMJ soreness, pain if I touched my max sinus.  I wanted the tooth out, since I had a previous rootcanal and crown.  I am a dental hygienist.  Today the pain is gone with the tooth and I ate more and no advil for 6 hours.  The sinus is sore to touch and TMJ still has limited opening.  I use a cpap and my left nostril has been dripping for days.  I wonder if this is a sinus problem, not tooth.  Looks that way now.  How can you do a differiental diagnosis?Thanks,Donna T Doctor: Hello,Thanks for consulting HCMRead your query as you have pain near 2nd molar this pain can be due to infection in tooth , it can be due to carious tooth formation of periapical absces or due to infection at apex of root causing inflamation of floor of maxillary sinus .For this I will suggest you to consult oral surgeon and go for investigation Iopa Xray or waters view radiograph for examination of sinus .Hope this will help you.