instruction: hi doctor my upper incisor hurts whenever I touch it this morning when I woke up I was not feeling this pain but after I drank a cold juice I notice that it hurts I went into the bathroom and check if I see any hole but there is none I gargle with some warm salt water but it still does not stop I brushed my teeth but I cannot go up to where the gum is because it hurts when I eat food I do not have a problem with it but only when I touch it I feel pain I do not know what is causing this and I am wondering if it is my sinus but I know that I have tooth decay because when I eat certain food my molar and premolar hurts I have an appointment to see the dentist but it is not in the recent upcoming days
output: hi I have read through your complaint and the relevant details pain on pressure is a clear sign of an infection deep in the roots of your upper incisors it could be mostly because of a forgotten trauma or assault you had in your childhood it is not necessarily because of tooth decay the vital part of the tooth is suffering pressure and causing the infection I advise you to visit the dentist on an emergency appointment immediately and you got to check with an ray to proceed with a root canal treatment in my opinion your appointment would be too late and you cannot be on paracetamol for so long there are a lot of chances for a bigger swelling or discoloration of the tooth it is not related to sinusitis as you think and the pain you get in premolar and molar region is the referred pain that you feel because of the upper incisors meanwhile try not to bite any hard object or food and gently brush with a soft bristle toothbrush thank you