Persistent Tooth and Sinus Pain While Diving and Flying — Looking for Experiences

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GDG

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Location
Italy
# of dives
100 - 199
Hi everyone,

I’m a 29-year-old diver with six years of experience and over 100 dives under my belt. I was even starting my Divemaster course when all this began.
It all started last November, during a dive trip to the Maldives. After my second dive, I felt an excruciating pain in my upper left molars — it was unbearable, like having a needle violently pressed into my tooth.
I felt it as soon as I descended to about 4–5 meters, and it lasted the entire dive, getting even worse as I ascended.
I managed to keep going by taking ibuprofen every day, but every time I hit strong currents — especially in the passes — the pain would come back, even with the painkillers.
When I got back home, I had a dental scan and a full check-up, but the dentist said my teeth were perfectly fine.
So I went to my ENT specialist. He sent me for a CT scan, which showed chronic sinusitis on the left side (exactly where I felt the pain) along with a deviated septum and a bony spur obstructing the turbinates due to severe inflammation.
My ENT recommended thermal nasal washes during the winter and suggested I try diving again in May.
(For the record, I had the exact same pain on my return flight — during landing, it felt like my tooth was about to explode.)
In May, I tried again with a lake dive. I went down to 7 meters, swam a bit, then surfaced.
When I tried to descend again (I was practicing with a drysuit), I couldn’t get past 3 meters because the same stabbing tooth pain hit me again.
At that point, I changed dentist — and this second one confirmed that my teeth were 100% healthy.
So I went to see two maxillofacial surgeons, who both recommended surgery to remove the bony spur and clean the sinuses.
I honestly didn’t know where else to turn, so I decided to go ahead with the surgery.
I had the operation on June 18.
As of now, I haven’t tried diving again yet, but I’m flying to Morocco in a week, and I’m feeling pretty anxious and worried.
I just want to get back to enjoying my passion — diving — without this fear hanging over me every time I dive or fly.
Nobody at my dive center has ever experienced this kind of problem, so I’m reaching out here…
Has anyone gone through something like this?
How did you figure out what it was?
What did you do, and how did you solve it?
I’d be truly grateful for any advice or experiences you can share.
Thanks so much for taking the time to read this and for any help you can give me.
 
Hi everyone,

I’m a 29-year-old diver with six years of experience and over 100 dives under my belt. I was even starting my Divemaster course when all this began.
It all started last November, during a dive trip to the Maldives. After my second dive, I felt an excruciating pain in my upper left molars — it was unbearable, like having a needle violently pressed into my tooth.
I felt it as soon as I descended to about 4–5 meters, and it lasted the entire dive, getting even worse as I ascended.
I managed to keep going by taking ibuprofen every day, but every time I hit strong currents — especially in the passes — the pain would come back, even with the painkillers.
When I got back home, I had a dental scan and a full check-up, but the dentist said my teeth were perfectly fine.
So I went to my ENT specialist. He sent me for a CT scan, which showed chronic sinusitis on the left side (exactly where I felt the pain) along with a deviated septum and a bony spur obstructing the turbinates due to severe inflammation.
My ENT recommended thermal nasal washes during the winter and suggested I try diving again in May.
(For the record, I had the exact same pain on my return flight — during landing, it felt like my tooth was about to explode.)
In May, I tried again with a lake dive. I went down to 7 meters, swam a bit, then surfaced.
When I tried to descend again (I was practicing with a drysuit), I couldn’t get past 3 meters because the same stabbing tooth pain hit me again.
At that point, I changed dentist — and this second one confirmed that my teeth were 100% healthy.
So I went to see two maxillofacial surgeons, who both recommended surgery to remove the bony spur and clean the sinuses.
I honestly didn’t know where else to turn, so I decided to go ahead with the surgery.
I had the operation on June 18.
As of now, I haven’t tried diving again yet, but I’m flying to Morocco in a week, and I’m feeling pretty anxious and worried.
I just want to get back to enjoying my passion — diving — without this fear hanging over me every time I dive or fly.
Nobody at my dive center has ever experienced this kind of problem, so I’m reaching out here…
Has anyone gone through something like this?
How did you figure out what it was?
What did you do, and how did you solve it?
I’d be truly grateful for any advice or experiences you can share.
Thanks so much for taking the time to read this and for any help you can give me.
Sinus barotrauma often feels like tooth pain so it's not surprising that you experienced it there. I haven't gone through this personally, but if you had a mechanical obstruction that was leading to sinus barotrauma and that obstruction was removed, then you've every reason to be optimistic.

Best regards,
DDM
 
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Find a dentist who served in the Navy with submariners
I'm curious about this - can you expand?
 
Sinus barotrauma often feels like tooth pain so it's not surprising that you experienced it there. I haven't gone through this personally, but if you had a mechanical obstruction that was leading to sinus barotrauma and that obstruction was removed, then you've every reason to be optimistic.

Best regards,
DDM


To echo DDM I have personally experienced sinus related tooth pain, so it is absolutely a thing.

I can’t say of that is the cause in your specific instance, but as DDM notes resolving sinus issues may resolve your problems with diving.
 
Anecdotal but I was on a sub tender, lousy with dentists and i remember something about special care taken with the crews teeth and pressure changes.
I'd be interested to know more about that. Subs stay at 1 atmosphere so any pressure changes would be unanticipated. It may be because it's much easier to stay on top of dental health than to evacuate a sailor during a patrol.
 
I'd be interested to know more about that. Subs stay at 1 atmosphere so any pressure changes would be unanticipated. It may be because it's much easier to stay on top of dental health than to evacuate a sailor during a patrol.
Prevention is probably the reason, I didn’t ride them (Subs) I only fixed them.
 
There is something I do not get; you were diving without problems before. If the physical obstruction was causing the problem, why did it not cause a problem before? Did you have a trauma to your nose like an accident? Or do you mean the sinusitis was so severe that it caused a deviated septum or a polyp or a physical obstruction?
 
OP, (@GDG) said:

So I went to my ENT specialist. He sent me for a CT scan, which showed chronic sinusitis on the left side (exactly where I felt the pain) along with a deviated septum and a bony spur obstructing the turbinates due to severe inflammation.

So I went to see two maxillofacial surgeons, who both recommended surgery to remove the bony spur and clean the sinuses.
I honestly didn’t know where else to turn, so I decided to go ahead with the surgery.
I had the operation on June 18.




I had "weird" sensations in my ears after my last dive trip. Went to walk in clinic, got dosed with anti-biotics, went back, got dosed again, then went to see ENT when problem persisted.

I had conversations with my ENT regarding diving, and he did a full exam, including CT scan. Deviated sepum, problem with turbinates, surgery recommended. I had the surgery two months ago, nose is still a bit tender, but I can breathe a LOT better.

One thing he was very clear on - no diving for at least six weeks post surgery. Seems to me that you might be pushing that a bit given your surgical date...
 

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