Not enough detail in your request. And the radiograph is far too pixellated to assess the RCTs.
What do you mean by " pain"? Consider this sheet that I give to my assistant dentists.
Eating pressure?
Hot or cold?
Percussive pain?
Taking analgesics; if so, to what effect?
Pain to ear, or to temple?
Just going from what I can see, there's been a deep composite on the premolar. That'd be my first guess.
I agree with Dr. MattKW with the premolar as well as its margin gaps. Also from the image quality, it appears that restorations of the 2 posterior molars have open margin gaps or large pooling of radiolucent cement/bonding agent.
Want to reply to this thread or ask your own question?
You'll need to choose a username for the site, which only take a couple of moments. After that, you can post your question and our members will help you out.