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ANY reason other than cracked tooth for severe pain?

User Level:
Patient
Posted by: LynnseyL  (8 years ago)
I have had sudden severe pain in 2nd upper molar for 4 days. I just returned from endodonist I was referred to who saw nothing on xray and let me go! For days it has felt like a NAIL being shoved into that tooth! I not only can't chew at all - it is difficult to chew on the other side. Just pressing on the tooth causes pain! It got a filling several months ago.

Now that I am researching this myself I see that a crack can become a root FRACTURE and will need to be extracted. Some articles say the dentist could have used fiber optic lighting with dye.

Another advice blog suggested a temporary restorative cap would help diagnose the problem and prevent further damage.

My endo mentioned that a cracked tooth won't be seen on xray this soon after it happened. He said take ibuprofen and hopefully it will get better UNLESS its a cracked tooth! BTW- I'm not getting anywhere with the Q-tip test. I did show the endo my instant pain when the surface of that tooth is pressed on. Is it really impossible to diagnose a cracked tooth in some cases or should I go to someone new and ask for the above 2 options?
User Level:
Dentist
I have had sudden severe pain in 2nd upper molar for 4 days. I just returned from endodonist I was referred to who saw nothing on xray and let me go! For days it has felt like a NAIL being shoved into that tooth! I not only can't chew at all - it is difficult to chew on the other side. Just pressing on the tooth causes pain! It got a filling several months ago.

Now that I am researching this myself I see that a crack can become a root FRACTURE and will need to be extracted. Some articles say the dentist could have used fiber optic lighting with dye.

Another advice blog suggested a temporary restorative cap would help diagnose the problem and prevent further damage.

My endo mentioned that a cracked tooth won't be seen on xray this soon after it happened. He said take ibuprofen and hopefully it will get better UNLESS its a cracked tooth! BTW- I'm not getting anywhere with the Q-tip test. I did show the endo my instant pain when the surface of that tooth is pressed on. Is it really impossible to diagnose a cracked tooth in some cases or should I go to someone new and ask for the above 2 options?


At this point I would try a temporary crown. About 50% of the time a crown resolves a cracked tooth issue. 40% of the time a root canal is necessary, and 10% of the time a cracked tooth cannot be saved.
Posted 8 years ago
User Level:
Dentist
First of all, you should tell us when do you feel this pain - when you eat, from cold or hot, how long does it hurts, when it appears - daily or at night. Please tell us
Posted 8 years ago
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