Kindly interpret my dental x-ray and explain the cause of my chronic toothache.

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I have gone through the X-ray (attachment removed to protect patient identity). Your left central incisor shows a problem of internal resorption. I suggest you continue taking medications for five days and then do RCT (root canal treatment) for this affected tooth.

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Root canal treatment has a good prognosis. By maintaining good hygiene, it can last up to a minimum of 20 to 25 years and to a maximum of 35 to 40 years without a postoperative infection. Regarding internal resorption, it just starts now and so you are having much pain. If it is treated early, then there are very few chances for you to have pain and infection. I suggest you take a treatment timely to prevent further infection.

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Internal resorption is not a serious issue as an emergency condition. But it can extend involving the whole of the pulp. As you have more pain, I suggest you after completing the antibiotic course, kindly do RCT (root canal treatment).

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Antibiotics and analgesics have helped you. It has stopped the progression of the infection and so you feel relieved. I suggest you take the treatment immediately to have permanent relief.

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The other teeth are strong and there is no problem. But they are a bit angled towards each other and I hope that they will become straight with time.

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I think that it is due to referred pain from the left central incisor. There is no crack on that tooth. Please mention whether the pain seems to be similar in both the central incisors.

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Yes, a clear picture helps to find the cracking. Please mention whether your right central incisor seems to be fine or not. Please send a clear picture of your right and left central incisor.

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Two months time is a very short period for the pathology to have development. As your X-ray is fine, I need a clinical picture to confirm the lesion whether it has progressed or not. Please send a clear picture to clear the doubts. One of your teeth has internal resorption while the other one is fine.

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Your right central incisor seems to be fine and the left central incisor has a fracture. But in both the incisors, there is attrition and so you have sensitivity. I suggest you use Sensoform rapid relief and repair twice a day for a month. Have a follow-up if you have any improvement. You need to restore your upper left central incisor as it has a fracture now. You need to do RCT of the left lower central incisor. Use Sensoform rapid relief and repair for a month. You need to restore your upper left central incisor soon.