Question 9 · LDEK · Diagnosis

Maxillary sinusitis is probably the most common extraoral cause of pain in patients visiting dental clinics. Which of the following are the most characteristic of sinusitis and may help differentiate it from pulpal pain?

1) pain aggravation upon leaning forward quickly (headache);
2) biting sensitivity (“teeth are too long”);
3) tooth sensitivity to percussion;
4) tooth hypersensitivity to cold;
5) pain transfer to adjacent teeth.
The correct answer is:
  1. A. 1,3.
  2. B. 2,5.
  3. C. 1,4.
  4. D. 1,5.
  5. E. 3,5.
Hint

Look for features reflecting pressure changes in the sinus and involvement of several teeth at once, not a single inflamed pulp.

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