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Why is the second premolar paining?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have pain in my left second premolar. The X-rays do not show anything, and it does not hurt if I tap on it or drink cold water. It seems to hurt near the root of the tooth, but only on one side, that is, the side facing the first molar. When I touch this side, I feel a short, sharp pain. If I do not touch it, it feels more like a dull ache. I have been using sensitive toothpaste and mouthwash to make my enamel stronger, but nothing seems to work. I have been cleaning my gums as well, and they are not bleeding.

Please help.

Answered by Dr. Naveen Thomas

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

From your description, it seems maybe your premolar might have a vertical fracture involving the nerves inside. This might be either due to a large filling, which may have caused more pressure on the remaining tooth structure or even biting on a very hard object or food. You need to get it checked by a dentist. The dentist would use direct illumination to check for a fracture. Vertical fracture cases usually require tooth extraction, and in some rare cases, root canal treatment can be done to save them. But, it can also be something, like an infection, which may not have come up on an X-ray till now. A detailed examination is required.

I hope this helps.

Thank you.

Answered by
Medically reviewed by iCliniq medical review team
Published At June 26, 2017
Reviewed At November 12, 2024

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naveen Thomas

Dentistry

Education:

BDS

Professional Bio:

Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry.

This doctor is not available for online consultations on the platform anymore.

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