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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
about two years ago my upper first molar started to hurt. My dentist removed the old filling and made a new one. The tooth continued to hurt — I felt the pain most at the top of the tooth (not at the gum). I went back to the dentist, who only told me that the filling was quite large (deep) and that the pain would subside over time. Since that did not happen, I went to him again, but the answer was the same. I went to another dentist, who took a panoramic X-ray and discovered inflammation. He began root canal treatment. After the treatment was completed (he treated three roots), I was still in pain and again received the answer that the pain would subside. But it did not. I went to a third dentist, who under a microscope discovered two more (untreated) roots. He treated those as well and the tooth no longer hurt, but I could still somehow feel it (I know this may sound strange), for example when I pressed on it I could somehow feel it in the gum. Later the tooth itself no longer hurt either, but since then (for 6 months) the gum above the tooth has been tender to the touch (about 1 cm from the end of the tooth). It hurts quite a lot when I press it with a finger and is also sensitive when I brush my teeth. The dentist tells me that he has done everything that could be done and that he has treated all the roots. Since I no longer know what to do or whom to turn to, I would kindly ask for your opinion as to what could be causing my problems. Thank you very much,
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
The pain you describe (on pressure on the bone above the tooth) is characteristic of inflammation around the root tip. Theoretically, treatment of the problem described is similar to what has been done so far. Given that several people have already tried to deal with this particular problem, I can suggest root-end surgery (apicoectomy), which, however, will be difficult to perform because of the type of tooth. The reliability of the procedure is relatively low (70%), but this is probably the option before extracting the tooth.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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