Hello,
some time ago my dentist made a bridge for a missing first molar. Later it turned out that I had a granuloma under the second molar and the tooth had to be extracted.
Now only the second premolar remains crowned, but it also hurts when I bite, although the X-ray shows nothing. What can be done so that I do not lose this tooth as well?
Thank you for your answer and kind regards.

Dear Sir/Madam!

Based on what you have written, I assume that inflammation of the dental pulp (pulpitis) has developed in the second premolar. The condition is irreversible, so the dental pulp would need to be removed, that is, the tooth would need root canal treatment. The tooth will indeed be non-vital, but this does not change its load-bearing properties. In the long term, non-vital teeth have a somewhat poorer prognosis; the ten-year survival rate of non-vital teeth is 84% (even when they are radiographically treated without fault).

Have a nice day!