A member asked:

Left face pain, major congestion and now my top lip is numb and top teeth on left hurt. what is this?

30 doctors weighed in across 22 answers

Maxilary sinusitis: Maxillary sinusitis can cause all of this. Yours sounds like it may be irritating the infraorbital nerve. Physican eval recommended for antibiotics if duration greater than 7 days or fever >100 f.

Answered 5/19/2016

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Possible abscess: Possible tooth abscess needs to be diagnosed with xray and exam.

Answered 5/25/2015

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Sinusitis/infection: It could either be a sinus infection that is putting pressure on the roots of your upper teeth causing tooth pain. But it could also be a severe tooth infection that is causing damage and irritation to the nerves around the tooth. I would go to see an oral surgeon or general dentist immediately to take x-rays for a definitive diagnosis.

Answered 9/28/2016

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Dr. Ragan Faler answered

Specializes in Dentistry

Sinus or tooth: Possibly a maxillary sinus infection or mucocele in the maxillary sinus. See an ent, or rule out tooth pain by a visit to your dentist.

Answered 9/28/2016

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Possibly due to TMJD: If you didn't had any dental work done recently and if you feel pain and numbness on left side. I will check your tmjd condition.

Answered 10/3/2015

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Dr. Steven Bender answered

Specializes in Dentistry

Need an evaluation: It would be impossiblle to give an accurate diagnosis without a comprehensive examination that would include imaging. The fact that you are experiencing numbness most likely indicates nerve involvement and should be assesed as soon as possible.

Answered 10/3/2016

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Dr. Meng Syn answered

Likely Sinus related: Everything but lip numbness fits a severe sinus infection. However, lip numbness can accompany sinus infections that are severe, although not common. The roots of the upper teeth are in close proximity of the sinus floor. See your dentist or ENT for an exam to rule out other possible less likely causes.

Answered 6/10/2014

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Sinus Infection: Probable sinus problem causing. Could also be tooth infection but not definite without radiograph.

Answered 8/15/2012

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Dr. Kini Tran answered

Specializes in Dentistry

Infection: This could be a sinus infection or tooth infection. Need to go see your general dentist. Do you have sinus issues every year and do you have the same symptoms? If not, it may be more likely that its a tooth infection.

Answered 6/28/2016

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Emergency: You should see your dentist as soon as possible given the symptoms you mentioned. They could be dentally related or possibly medical. Neuralgia (numbness) does concern me. Please get this evaluated immediately.

Answered 8/20/2013

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Left maxillary sinus: Usually caused by a bacterial sinusitis.

Answered 6/28/2016

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Sinusitis or Abscess: You need to see your dentist as this condition may be a sinusitis or a dental abscess impinging on the second branch of the trigeminal nerve.

Answered 7/31/2012

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Sinusitis: Sinus congestion can cause this and should be treated with antibiotics.

Answered 7/21/2012

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See a Dentist: Could be a cyst... An abcess, impacted wisdom tooth... Seeing a dentist is necessary with the symptoms you are describing. Dentist may come to the conclusion that it is necessary to refer you to a specialist...

Answered 7/21/2012

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Several things: It can be a tooth infection causing pus to build up and swelling. It can also be a sinus infection (this sounds more likely in your case), which causes a buildup of mucus in your sinus cavities. You have nerves that run along your sinus cavity to your top teeth and this sinus buildup can cause pressure on them causing pain and numbness.

Answered 9/20/2017

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Sinusitis See ENT: Sinus pressure from severe sinusitis can impinge on the roots of the upper teeth and the nerves innervating adjacent tissues. If you have not had any previous tooth pain, you should start with a visit to an ear, nose and throat specialist. Although a dentist can prescribe decongestants and antibiotics that will usually resolve the problem, some sinus infections are very difficult to manage.

Answered 10/3/2016

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Sinusitis, Dental : Initial diagnosis, sinus infection with underlining dental infection.

Answered 9/28/2016

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Infections: An abscessed tooth or infected maxillary sinus could be the source of your problem. An x-ray and exam is advisable.

Answered 7/5/2015

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Have this checked: Could be sinus infection. Go to your dentist asap and have the area evaluated to rule out a tooth issue. If all checks out, then it will be off to your medical doctor for an evaluation.

Answered 7/5/2015

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Dr. Simon Rosenberg answered

Specializes in Prosthodontics

Sinusitis/Abscess: Your symptoms warrant further evaluation asap. It may be a # of problems. Sinusitis would be most common followed by a dental abscess. Lip numbness is disturbing and uncommon in either of these two problems. Rarely would a neurological problem give congestion if you truly have nasal congestion with a discharge. You need to see a health professional as the combo of symptoms could also be a cancer.

Answered 11/27/2017

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Sinus: Sinusitis likely. See ENT doc promptly for evaluation and treatment.

Answered 7/18/2016

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Dr. Paul Grin answered

Specializes in Pain Management

See your dentist: to rule out dental abscess (most likely), sinus infection or neurologic deficiency.

Answered 7/5/2015

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