Please help have had a deep filling 2 month ago and pain is severe. Do I need RCT?

[EnterA]

Dear Doctors,

I have had a deep filling on 2nd left lower molar and having severe pain since even though I asked her to not leave it like that and do RCT she left it and said me to wait - for 2 months. Do I need RCT?
attaching here Xrays before (8 month ago) and after (week ago).. I see there is a black area under this tooth in the recent panoramic. Please help me can't sleep at nights ?
Should I go to other dentist that would listen to me and do an RCT?

 

[EnterA]

BTW, I did this filling in the 2nd lower left molar almost 2 month ago, please I really need your advice - what is the black area under this teeth.. it looks like an infection, doesnt it?

 

[Gordon]

You can't tell from a panoral film if there's anything going on at the roots. What kind of pain are we talking about? Anything provokes it or is it coming on by itself. Anything makes it better or worse?
How long does it last for?

 

[EnterA]

Thank you Dr Gordon It's a dull pain lasting for almost 6 month - I extracted lower left first molar - thought it would help - extracted upper left wisdom - also did not help - it can be for hours and days that I cant sleep, sometimes it calms down for some time. I really dont know what provokes it

 

[EnterA]

I have also bite xray before the filling - there was a deep cavity so there should be a RCT done because it reached to the nerve - I even had pain before, but they did only deep filling which caused me chronic pain to my opinion

 

[Gordon]

It would be good to get an electronic pulp test (EPT) done on the tooth, then you'd know how healthy the nerve is so you could get a better diagnosis. Chronic pain like this can be very hard to pin down, as well as grinding you down mentally. My sympathies.

 

[EnterA]

Thank you Dr. Gordon I'll check it

 

[EnterA]

Dear Dr.Gordon,

I did an RCT in this lower tooth but still under lots of pain which is coming from the upper teeth.. My dentist don't know what to do and says that I should take some relaxing pills.. but I'm quit sure it's a teeth pain.

Attaching here Xrays I did on the after the RCT could you please help me if you see a siginficant problem that causes me severe tooth pain and sleepless nights? Thank you ?
I feel like there is abcess forming between these upper teeth.. Am I right?

Thank you in advance

 

[EnterA]

Also this is before the RCT.. was there a problem in the upper teeth which my dentiat missed? I complained him about pain already from these teeth in the past..

 

[KellyR]

Hi there. I am so sorry to hear you are living with this. I am going g through something very similar and have been since may. Started off with a deep filling which never settled, and I had the tooth extracted a few weeks later as the pain would not stop. Then develop a dry socket in the extraction, since may I have developed facial athromyalgia and am having pain in my upper teeth which moves around, and my bottom remaining molar I can’t bite or chew on, some days I can’t even brush it as it’s so raw. Dentists keep saying can’t see anything wrong with the teeth. Saw an endo on Tuesday and had the ice test both teeth reacted severely and I’m now looking at 2 root canals , but the pain is there every single day, it sometimes is in my front tooth, other times it will be my other teeth, it shoots and stabs intermittently, I can barely eat properly, haven’t done for months, can’t have anything cold whatsoever or anything hot, even sensitive toothpaste irritates it. I’ve got another appointment this week to discuss what my options are. I really do feel your pain. It’s awful not really knowing what is going on and you feel like nobody believes you. I hope you get some relief and answers.

 

[Gordon]

Don't see anything at all on those x-rays which would suggest a problem with the upper teeth. Have they been pulp tested?
Could be sinus related, I've had sinusitis in the past which made me think that all my upper teeth were aching.
RCT on the lower tooth doesn't look brilliant, are you certain that the pain isn't coming from there?

 

[EnterA]

Dear KellyR thank you for your kind words, hope things will settle down ?
Dear Dr.Gordon - Sorry I've mistaken it's only the first step of RCT which is cleaning the canals, w/o filling them.
Regarding the pulp test yes previous dentist did me endo ice test and the 2 upper premolars were sensetive with tingeling pain for 10 sec (there is a cavity between these teeth) could it cause me so much pain?
Regarding the 2 molars I have not checked them, unfortenetly.
But I also feel pain between them.
The thing is I've been to another dentist he said that cavity in teeth cannot cause this kind of severe pain I have so I'm confused ?

 

[EnterA]

Also I'm afraid to do filling because it might cause me more pain I'm so frustrated

 

[EnterA]

BTW I also extracted an impacted wisdom tooth a month ago (it can be seen in the Xray before after) because thought it would help..

 

[EnterA]

And other dentist from the facebook told me that it seems that there are cavities between the upper teeth.. But I'm not sure what should I really do..

 

[Gordon]

There's a tiny cavity visible in one of the molars. There's no way it's causing any pain at all. Should be a very simple filling but personally I would apply some fluoride and see what happens, assuming you're a regular patient.
Ice testing the teeth is not a proper pulp test, you need to have somebody use an electronic pulp tester on them for more accurate results.
Personally I would get the lower molar finished first and see if the pain goes, it's the most obvious source of issues.

 

[EnterA]

Thank you Dr.Gordon I'm grateful for your advice! ???

I'm starting to think my pain is maybe due to uneven bite after losing my 1st molar a 6 month ago, and also doing some unecessary fillings which did it more uneven and all the pressure is on the 2nd molars now.

Thank you again - it's not obvious to help a sranger on the internet?

 

[EnterA]

I found another Xray could it be what causes me pain? seems pretty deep cavity there

 

[Gordon]

No, I don't think that would cause the pain you describe.