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Hi! Well first of all, I'm sorry to hear about your health problems. A lot of dental infections don't cause pain if they are long standing, but in order to determine if your broken tooth is causing an infection to spread I would need to know approximately where in your mouth it is. If its a top tooth, bottom, back molar or front incisor. The more specific location you can tell me would be appreciated, or even a picture. Thanks.
The tooth you describe could definitely spread an infection to the maxillary sinus which if that has happened, over time the infection can spread to other sinus cavities. As you are describing you have what feels like a sinus headache, may indicate that some level of inflammation (so not positively infection unless x-rayed) is present. You may have an inner ear infection that is causing these symptoms as well (vertigo). My suggestion would be to see urgent care as soon as possible, because the on-call dr can prescribe either an antibiotic or other med as they determine before seeing your dentist. The physician may simple suggest a decongestant too, but its the best way to start getting treatment before you can get that root removed. A broken tooth, that isn't causing pain, has dead pulp tissue inside the root and will eventually cause infection. It can be quick or it can take years. Does that answer your question? Dr. Hegland
You are correct that you have contributing conditions that can cause some anxiety! However, to help with your anxiety it might help to get the tooth looked at asap or even call your dentist office to obtain a antibiotic. It is unlikely that you have those symptoms and a resulting infection spread to brain, but I just want to make sure that you understand follow-up for your tooth and overall health is important as soon as possible to find the source of your symptoms.
Also when you press on tooth with finger or tongue and that causes tenderness or an exudate of white or puss like substance you need to act on the tooth treatment.
If you have any other concerns please just ask, and take care! Dr. Hegland