Hello Thr s issue in between upper last both teeth.I can’t say for sure bcz ur opg is not clear,get iopa done for That area

based on your description and the attached OPG (orthopantomogram) image. OPG images can be quite complex, and diagnosing dental issues solely based on an image can be challenging. It's important to rely on the expertise of your dentist and potentially seek a second opinion if needed. That being said, the OPG image can show several things, including tooth positioning, bone health, and potential areas of concern. If your dentist has already examined the impacted wisdom tooth and extracted a portion of it, and you're still experiencing pain, there could be several other possibilities to consider: Hidden Infection: Sometimes, dental infections can be difficult to diagnose and may not be visible on X-rays or imaging. An infection could be affecting the surrounding teeth, gums, or even the bone. Nerve Sensitivity: Nerves in the area could be irritated or damaged, leading to persistent pain. Adjacent Tooth Issues: The adjacent teeth could be impacted or have cavities, which might not be immediately visible on an OPG. Sinus Issues: The upper molars are close to the sinuses, and sinus infections or inflammation can sometimes cause referred pain to the teeth. Temporomandibular Joint (TMJ) Disorder: TMJ issues can also cause pain that feels like it's coming from the teeth. Neuralgia: Nerve-related conditions can sometimes cause intense pain that's difficult to pinpoint. Since your dentist has already performed an extraction and you're still experiencing pain, it's crucial to communicate your ongoing symptoms to your dentist. They may want to further investigate or refer you to a specialist for a more thorough examination, such as an endodontist (root canal specialist) or an oral and maxillofacial surgeon. It's always a good idea to get a second opinion if you're unsure about the diagnosis or treatment plan. Consulting with a different dentist or specialist could provide you with more insights into the cause of your pain and potential treatment options.

Hi I don’t see any cavity in the upper left side . But I would suggest you to take a iopa(intra oral single tooth X-ray ) for better diagnosis . Origin of pain is important for diagnosis . I can see impacted lower wisdom teeth . Sometimes pain in the Wisdom teeth is radiating to the upper jaw .

Can we have the X-ray after the extraction of extraction site , Nothing is clear from the opg will need to review & check ones , do you have any kind of stress or habit of biting clenching of teeth during sleep or night ? Do you get pain at your left side when you wake up in morning ?

Hello there is a cavity in the upper 2nd molar

There is probability of caries in mesial aspect of upper 2nd molar as I see some break in continuity of tooth’s outline. However an IOPA will give a better picture of the tooth and hence the diagnosis. Also, some part of distal surface of 26 seems affected with caries too. Your having intense pain in the area some what confirms the diagnosis too. Impacted lower wisdom doesn’t seem to give you any symptoms as seen in the OPG. Just to be sure run a finger over wisdom tooth area. If it hurts, then wisdom can be the offending tooth, however, if not then there’s no problem with your wisdom. I personally don’t feel there a problem with your wisdoms!

OPG is not clear. Difficult to comment. Do visit a local oral medicine specialist for physical evaluation and treatment ( as required).