The pain you describe — only while chewing tightly and with cold food for 2–3 seconds — can happen when the tooth has decay, especially on the back/distal side. The short-lasting cold pain usually suggests that the nerve is irritated but may still be healthy. However, pain on biting should also be checked for a crack or pressure on the tooth.
Next Steps
* Please get the tooth examined by a dentist.
* If the decay has not reached the nerve, removing the decay and placing a filling may solve the problem.
* If the decay is very deep and the nerve is affected, root canal treatment may be required.
* The previously removed wisdom tooth is unlikely to be the main issue now; the decay in the adjacent tooth needs attention.
Health Tips
* Avoid chewing hard foods on that side for now.
* Avoid very cold foods/drinks temporarily.
* Continue brushing twice daily with a fluoride toothpaste.
* Don’t delay treatment, because untreated decay can become deeper and eventually cause severe or continuous pain.
* If you develop swelling, severe pain, night pain, or pain that continues long after eating/drinking, see a dentist promptly.