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Dental question
I have lower jaw pain under ear and neck for more than 6 months. My dentist suspect a tooth root fracture in #46 from the cbct scan. X-rays are normal. No pain on that tooth till I go to dentist. I went to check jaw pain. He tapped on that tooth and it's sensitive and painful. Biting on bite paper is sensitive and painful. He told me to extract it. Went to Endo and he didn't see any fracture clinically. Told to do RCT and crown. Did that. Still same symptoms in the jaw, neck. Along with that, sore pain in gum and tooth#46 since crown placed. I went back to dentist. He tapped on crown tooth and hurts and sensitive. Biting on the paper hurts and tender,sore. He want me to extract it now. But he only suspect a fracture in the tooth root in cbct. He is not certain though. Does cbct show only suspect fractures? Do we need to extract the tooth if the cbct shows any suspicion fracture? Please help. Do I need to extract this tooth now or wait? what to do for this tapping pain? does rct helps?
Clinical evaluation is very important before commenting on treatment plan as jaw pain could be due to various reasons. According to my opinion firstly that suspected tooth should made bite free for few days.if only during chewing food jaw pain sustain and rest of the time no pain present at TMJ it would be suspected that the jaw pain is from #46.
Next Steps
if it become confirmed that jaw pain is b/o fractured tooth, it should be extracted then.as cbct is also showing fractured root.
Health Tips
avoid chewing food with that side
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