Chronic or recurrent maxillary sinusitis that does not respond to antibiotics or ENT treatment is often driven by a silent tooth eroding into the sinus floor. With the sinus, check the jaw.
Persistent earache with a normal ear examination is often referred pain from a silent tooth. Antibiotics will not fix it. With the ear, check the jaw.
Patients diagnosed with trigeminal neuralgia or atypical facial pain are sometimes placed on neurological medication for years when the true origin is a silent tooth. Before the nerve is treated, check the jaw.
Jaw pain, clicking and limited opening are often treated as a joint problem. In many patients the joint is the victim. A silent infection at a tooth root, with no toothache, can drive the muscle spasm and bruxism that damage it. A CBCT finds what a panoramic X-ray misses.
If you are scheduled for a hip or knee replacement, one evaluation is frequently overlooked: your teeth. Silent infection at the tip of a tooth root can seed a new joint. At our practice, every patient referred for total joint arthroplasty has a dental CBCT before surgery.
It is with great excitement that I am sharing the news that Dr Dirk Maree (Plastic & Reconstructive Surgeon) will be joining the team of our new practice. Dirk has been a central part of the team managing head and neck oncology, and reconstruction cases since I started in private practice in 2008. He qualified as a Plastic and Reconstructive Surgeon from The University of Pretoria in 2006 and has a private practice based in Centurion.