Non-Odontogenic Toothache Caused by the Fungal Ball of Maxillary Sinus: Case Reports

Abstract

A fungal ball (FB) of the paranasal sinuses is a chronic, non-invasive fungal sinusitis defined as the accumulation of dense aggregation of fungal hyphae in a sinus cavity. A patient with FB infection in a sinus cavity has usually non-specific symptoms such as post-nasal drip, nasal congestion, headache. However, facial pain and toothache can be developed if FB infection is in maxillary sinus. The aim of this case report is to present two cases of FB of the maxillary sinus which caused toothache in the upper molar region. It is also to make dental practitioners consider the non-odontogenic origins of toothache and to pay special attention to avoid unnecessary dental treatment.

Orofacial Pain and Nonodotogenic Toothache of Cardiac Origin: Case Report

“…Facial sinusitis may present with pain in the maxillary teeth, similar to pulpal or periodontal toothache. In particular, maxillary sinusitis induces persistent pain around the zygoma, and inflammation of the maxillary sinus causes toothache-like pain due to its proximity to the apical area of the maxillary premolars and molars [7,8]. Key points for differential diagnosis include upper respiratory infection, infraorbital tenderness in response to pressure in the affected sinus, increased toothache during forward head bending, incomplete relief of tooth pain after local anesthesia, and confirmation of air/fluid levels on Water's view or computed tomography [6,7].…”

Botulinum toxin injection attenuates nonodontogenic toothache: A case report

“…Factors such as the dental history, medical history, extraoral examinations, and the psychological state contribute to an appropriate diagnosis 1,2 . Nonodontogenic toothache can be defined as the pain which is perceived on pulpal and adjacent structure but does not originate from the tooth or the periodontal tissues 3,4 . If clinical and radiographic examinations do not reveal any pathologic findings in the teeth or the surrounding periodontal structures, nonodontogenic origin for the pain should be considered.…”

“…If clinical and radiographic examinations do not reveal any pathologic findings in the teeth or the surrounding periodontal structures, nonodontogenic origin for the pain should be considered. The causes for nonodontogenic toothache may include muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenic problems, or cardiogenic disease 3,4 …”