Ongoing Molar problems

[Eros]

Ive had problems with 4 heavily filled molars this year. Mild pain which comes and goes.
Now the most curious thing is I have had no pain at night and takes an hour or so in morning to start aching. I'd really appreciate
a explanation - I can't understand it.

Seems to me, pain gradually starts as I use my jaws for eating and talking. Different molars may react on different days but it
seems to be getting more regular.

No reaction to hot and cold or pressure.
Tooth pain is not helped by Paracetemol or Ibuprofen.

My dentist has done various checks but found nothing conclusive. He did mention about possibility of small hidden cracks but xrays
haven't revealed them.
I find it hard to believe that Ive had molars with the same problem, in a relatively short space of time.

 

[honestdoc]

X-rays will not pick up cracks unless the crack has separation. With heavily filled molars, the dentist needs to check on the pulpal health and tooth sleuth (bite stick) for cracks. Depending on the findings, you may need root canals and crowns.

 

[Eros]

Thanks for the comments doc.
Any thoughts on why my sleep has not been effected?

 

[honestdoc]

Your condition(s) seem more complicated. You may have multiple factors such as TMJ, grinding, clenching, etc. The dentist may need to eliminate different possible causes.

 

[Eros]

My dentist referred me to an Endodontist specialist who did a very thorough check of several problem molars (UL, UR, LL and LR) including percussion, electric, tooth sleuth, cold test. Like my own dentist he didn't find anything of significance.

He did a CT Scan of two molars and an extraction site which didn't reveal anything very significant. He didnt scan the other areas for the present – and gave me his reasons.
He doesnt think its cracking and no evidence of pulpitis. Said there was no suggestion of grinding or clenching.
Basically, he is very reluctant to do root canal treatment in case he does it and finds that I still have pain. Then have to repeat.

So I am basically still waiting to see how things pan out.

I did wonder, though I havent asked the specialist, Ive had problems with Lower Left 7 and Lower Right 6 (was extracted but still pain issues) since start of year.
The problems with Upper Left 6 and Upper Right 7 started in March.
Any possibility of referred pain between upper and lower jaw?