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

Hi,

Welcome to icliniq.com.

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

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

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 started 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 the treatment on time to prevent further infection.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

Internal resorption is not a serious issue as an emergency condition. But it can extend to the whole of the pulp. As you have more pain, I suggest that after completing the antibiotic course, kindly do RCT (root canal treatment). You have internal resorption. Continue taking medications.I suggest you take treatment as soon as possible. It is not an emergency condition and so you can delay it for two to three months as internal resorption will not spread involving the pulp.

Thank you.

Hi,

Welcome back to icliniq.com.

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. You seem to have an inhibition of infection and pain.

It is nice to hear that you have relief from pain. But it is necessary to do RCT (root canal treatment) in a timely manner to have permanent relief.

Thank you.

Hi,

Welcome back to icliniq.com.

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. Your teeth seem to be angling towards each other. Self-positioning is possible. Do not be worried. They will become straight as your age advances. Please wait for some time.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

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 central incisors. You seem to have internal resorption pain.Please share a clinical picture as the fracture is not shown in the X-ray. As you have sharp pain, I suggest you take a clinical picture to detect the fracture in your other tooth. Avoid eating and biting on that tooth.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

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 incisors.

Thank you

Hi,

Welcome back to icliniq.com.

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 whether the lesion 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.

Thank you.

Hi,

Welcome back to icliniq.com.

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 improvements. You need to restore your upper left central incisor as it has a fracture now. You need to do an RCT of the left lower central incisor. Use sensitivity paste for a month. You need to restore your upper left central incisor soon.

I hope this helps.

Thank you.