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Any infection or cavity visible
I have consulted many doctors but no one is able to tell the problem. I am having pain and sensitivity in a few teeth including no.5 upper tooth but as per them there is no problem in any tooth except 5th upper tooth. As per the enclosed opg is there any infection or cavity visible in any of the tooth except no. 5?
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Mam,why haven't you undergone a crown in your tooth #15? Might be it has crack because biting hard food without crown(cap).If your root canal tooth is paining then get CBCT done of that tooth,it will help in diagnosing the problem properly.
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consult your dentist for more information about CBCT for your root canal treated tooth.
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Undergo crown(cap) for root canal treated tooth #15,if no pain in that tooth
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Hello Pain and sensitivity in a few teeth you have said So are these few teeth present in right upper front region? It would be helpful if you can share clinical picture of your front teeth. Slight bone loss in upper central and lateral, supra eruption of upper left molar because the opposing tooth is extracted.
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Mention the area where you are feeling the sensitivity apart from upper 5 as u said. Also are your teeth overlapping each other?
Health Tips
Clinical picture will be helpful. Avoid brushing hard.
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Thanks for sharing Xray! Upper right 5 has a periapical lesion(at the end of roots in bone) not healed despite root canal treatment. Both upper and lower wisdom teeth on right side are decayed. Lower left premolars also show some periapical changes on Xray ,but not very clear ,a small periapical Xray is better in diagnosing recurrent decay and infections. Please visit another dentist ,they will be able to guide you .
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Madam the upper third molar looks decayed,and all the roots till premolar are in close proximity to the maxillary sinus.hence every time the sinus gets inflamed, you'll have dull pain in that area. The second premolar which is having RCT done, has an apical lesion. The first premolar on right side shows mild changes in the root apex area. This tooth evg x ray will be needed to visualise clearly Also the left side upper second molar is supra erupted because of which the root area might not have bone cover, only gums covering will be there. this also can be a reason for sensitivity Can you provide me with a history of the pain 1. since how long is it there ? 2. Was there any common cold during the pain episode?
Next Steps
1.if the upper molar is decayed then extraction of the tooth 2. if the second premolar is in pain then retreat it with an endodontist 3. if the decay is reaching the pupal area confirmed with the RVG or CBCT, then RCT has to be done. 4. left side lower missing teeth needs to be replaced with upper tooth intrusion 5. if there is a history of common cold then its self limiting.
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consult an endodontist and an Oral and maxillofacial surgeon
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Hello Infection is seen with root canal treated tooth Also the tooth next to it filling looks close to the nerve
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.