Pain in an RCT-treated tooth, especially pain triggered by biting or when the opposing tooth/bridge contacts it, does not automatically mean that the RCT has failed. Since the bridge was fitted only recently, one important possibility is that the bite is slightly high, putting excessive pressure on the treated tooth and its supporting tissues. This can cause significant tenderness on chewing.
Other possibilities include inflammation around the root after RCT, an incompletely treated/missed canal, or less commonly a crack or another problem with the abutment tooth. The fact that the X-ray did not show infection is reassuring, but it does not completely rule out early inflammation.
Next Steps
* Please return to your dentist for an occlusal/bite check. Ask them specifically to check whether the RCT-treated tooth is taking excessive contact when you bite.
* The tooth should also be examined for percussion and biting tenderness, and the surrounding gums/periodontal tissues should be checked.
* If the pain persists despite correcting the bite, consider an evaluation by an endodontist. A repeat periapical X-ray, and occasionally CBCT, may be needed depending on the clinical findings.
* Until it settles, avoid chewing hard or sticky foods on that side.
* If you develop swelling, fever, pus, increasing spontaneous pain, or difficulty opening the mouth/swallowing, seek dental care promptly.
Health Tips
A tooth that has recently undergone RCT can remain tender for several days, particularly if the tissues around the root were already inflamed. Pain on biting does not mean that the tooth has necessarily been lost or that the bridge has failed.
However, because your pain is specifically aggravated by contact, I would not simply wait indefinitely. Have the bite checked first—an adjustment, if the bridge is slightly high, can sometimes make a substantial difference.
Also, avoid repeatedly testing the tooth by biting on it, as this can keep the supporting tissues irritated. Ketorolac should be taken only as prescribed and for the recommended duration.