Madam the upper third molar looks decayed,and all the roots till premolar are in close proximity to the maxillary sinus.hence every time the sinus gets inflamed, you'll have dull pain in that area.
The second premolar which is having RCT done, has an apical lesion.
The first premolar on right side shows mild changes in the root apex area. This tooth evg x ray will be needed to visualise clearly
Also the left side upper second molar is supra erupted because of which the root area might not have bone cover, only gums covering will be there. this also can be a reason for sensitivity
Can you provide me with a history of the pain 1. since how long is it there ?
2. Was there any common cold during the pain episode?
Next Steps
1.if the upper molar is decayed then extraction of the tooth
2. if the second premolar is in pain then retreat it with an endodontist
3. if the decay is reaching the pupal area confirmed with the RVG or CBCT, then RCT has to be done.
4. left side lower missing teeth needs to be replaced with upper tooth intrusion
5. if there is a history of common cold then its self limiting.
Health Tips
consult an endodontist and an Oral and maxillofacial surgeon