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Intermittent tooth pain
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An_248437 posted:
I have a root canal/capped tooth that I believe is causing intermittent pain. Could this be seeing the nerves that cause pain have been removed? Or could it be in an adjoining tooth? The strange thing is the pain is intermittent, on & off for approx 2 wks. I went to my dentist, and had full xrays, which showed no problems, but when I went it was when I had no pain. The root canal/cap is 5 yrs old. Any suggestions??
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Zev Kaufman, DDS responded:
Dear An_24837:

It is very difficult to try and diagnose the problem over the internet, however, it is very possible for a tooth to experience symptoms when on the X-ray it looks as if the root canal treatment is properly done. Remember that an X-ray is only a two dimensional representation for the tooth and sometimes can look perfect. However, if a special limited field dental scan (cone beam) is taken, an unfilled canal can be found or a fracture line that cannot be seen on the X-ray.
In addition, you are right that the symptoms can be from another tooth and the pain is just referred.

The best advise that I can give you is to go to the specialist in this area, the Endodontist and get a second set of eyes and another brain looking at the situation. www.aae.org will have a link to an Endodontist near you, or just ask your dentist for a referral. It is always good to get a second opinion. Do nothing until you know what the diagnosis is.

Best of luck,
Dr. Zev Kaufman