Severe gum pain on 47 gum margin.

Hello Thr s no infection in 47 but thr s bone loss and thr is tooth part or bone part in the region of 48

You have consulted several specialists, undergone various imaging tests such as CBCT and MRI of the TMJ, and have had dental treatments including root canal treatments and scaling and root planing (SRP). However, despite these interventions, you have not found relief from the jaw pain, and you are currently experiencing throbbing and painful gums, particularly around tooth 47. Given the complexity and persistence of your symptoms, it is important to continue seeking the advice of dental and medical professionals who can conduct a thorough evaluation and provide a comprehensive treatment plan. While I cannot diagnose your specific condition, here are a few considerations: Consultation with a TMJ specialist: Given the location of your pain and the inconclusive results from previous imaging tests, it may be beneficial to consult with a specialist who specifically focuses on temporomandibular joint (TMJ) disorders. They can conduct a detailed evaluation of your jaw joint, bite, and associated structures to determine if there are any underlying TMJ-related issues contributing to your symptoms. Reevaluation of tooth 47: Since you are experiencing severe pain and throbbing in the gum around tooth 47, it is important to have this area reevaluated by a dental professional. They can assess the health of the tooth, check for any signs of infection or inflammation, and provide appropriate treatment recommendations. Continued consultation with a periodontist: If you are experiencing recurrent tartar buildup and gum issues, it may be helpful to continue working with a periodontist who can address your periodontal health and provide treatment options to manage gum inflammation and infection. Remember, these suggestions are general in nature, and it is crucial to consult with dental and medical professionals who can provide a thorough evaluation and personalized recommendations based on your specific condition. They will be able to review your complete dental and medical history, conduct any necessary tests, and develop a comprehensive treatment plan to address your concerns and alleviate your pain.