Painful teeth after treatment

[Tex]

Hi. I know no one can solve my problems based on what I write here but I hope someone can give me a hint.

Over the past few weeks, I did several teeth repairs including 1 extraction and 3 root canals. Now I have 2 problems that the dentist cannot solve.

1.) I have pain in my last 2 top teeth on my right side. The dentist did the filling on both of them and took an x-ray afterward which shows no cavities left. However, the pain is so bad that I can't chew. What makes it more confusing the pain is exactly in between the teeth. (not the gum). When I put a toothpick in between the 2 teeth I can't tell which one is hurting. They both do. Is there a way to figure which one is hurting?

2) The second issue that the dentist is puzzled about is my 3rd tooth on top from the back on the left side. On that one, I did a root canal a year ago and it broke a few weeks ago and started hurting on the spot where it broke. I got it filled but the pain remains. The dentist removed and filled the painful part but then the other side of the tooth hurt. He did it again and took an x-ray but the pain is still there.

Any suggestions?

 

[Dr M]

Good day

Do you perhaps have any photos or x-rays of your teeth?

Regarding your first question, it could be that the occlusion or bite on the filled teeth are not correct, leading to an increase in pressure of the ligaments surrounding the teeth, and then the resulting pain.
It could also be areas of exposed dentine due to recession of the gums, causing pain.
How deep are the fillings? Again, x-rays will really be helpful.

Secondly, the root canal treated tooth, could either have a crack in, that is not visible with the naked eye or 2D x-rays, or the root canal itself could have been compromised due to microleakage. This would have led to the root canal starting to fail, and in such a case, a re-treatment might be indicated. Also have the occlusion checked on this tooth.

In the end, it could be a lot of things, but we would need more information to be more helpful.

 

[Tex]

Good day

Do you perhaps have any photos or x-rays of your teeth?

Regarding your first question, it could be that the occlusion or bite on the filled teeth are not correct, leading to an increase in pressure of the ligaments surrounding the teeth, and then the resulting pain.
It could also be areas of exposed dentine due to recession of the gums, causing pain.
How deep are the fillings? Again, x-rays will really be helpful.

Secondly, the root canal treated tooth, could either have a crack in, that is not visible with the naked eye or 2D x-rays, or the root canal itself could have been compromised due to microleakage. This would have led to the root canal starting to fail, and in such a case, a re-treatment might be indicated. Also have the occlusion checked on this tooth.

In the end, it could be a lot of things, but we would need more information to be more helpful.

Thanks for the reply. My dentist did mention the possibility of it being broken (the one with a root canal) but nothing else and will probably send me to a specialist.

The second photo is not taken from the side but of complete mouth because they want to order a night guard. I took the best picture I could and the pain is exactly between the 2 teeth right in the center where those red lines are pointing to. When I chew on something solid I can't tell which tooth hurts more because they both do. The last 2 on the bottom same side have been done after this x-ray was taken but they too hurt although not as bad but that prevents me from finding out which tooth is more painful on the both sides.

When you have 4 painful teeth that push on each other it is hard to tell which one hurts the most. But I am not concerned with the bottom ones it's these upper 2 on the x-ray and the one on the other x-ray I attached.

Thank You

 

[Dr M]

I agree with your dentist. If the root canal is still giving problems, it is best you consider seeing a specialist endodontist.
On the other x-ray, I can see that the top tooth, right at the back, has a very large filling, close to the pulp or nerve of the tooth. Over time, such a large filling, could lead to a pulpitis of the nerve ( inflammation). If the pulpitis becomes irreversible, it might be an inidication for root canal treatment on that tooth as well. I would still check the occlusion or bite on these teeth first.
Have you been taking anti-inflammatory medication? This could help.
If you are being referred to an endodontist, you can have him look at these teeth as well.