A member asked:

I've got toothache on my back teeth and i had an x-ray and dentist said my teeth are perfect? what could b causing this?

9 doctors weighed in across 4 answers
Dr. Gary Sandler answered

Specializes in Dentistry

It's frustrating: Not all problems always show up on x-ray and with a clinical exam, at least in the early phases. It could be a minute internal fracture, a nerve becoming non-vital, pain related to bruxism, sinusitis, just to mention a few possibilities. These situations are often frustrating to both the patient and the dentist. Try to localize which tooth it is and what brings it on.

Answered 11/27/2017

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Dr. Abraham Jaskiel answered

Specializes in Dentistry

Pain in jaw: You may be clenching or grinding your teeth. A professional hard night guard made by your dentist is the best thing for clenching at night. It should protect your teeth and tmj, and alleviate pain. It also may be an infection in a tooth that is just starting and doesnt show up on an xray. Trauma can cause this.

Answered 4/7/2014

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Dr. Travis Campbell answered

Specializes in Cosmetic Dentistry

Second opinion: Try to find a second opinion. Many things can cause pain around teeth including infections, cavities, gum disease, wisdom teeth, sinus infections, occlusal trauma, etc.

Answered 4/25/2016

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Lots of things: X-ray is 2 dimensional representation of a 3 dimensional object. Sometimes problem areas are obscured, especially if large fillings are present. Sometimes there a fractures that con't show up on x-rays. Sometimes the problem is around the tooth (bone/gum). Sometimes problem too new to appear on film. Clenching/grinding can cause soreness. Ask your dentist to refer you to an endodontist

Answered 9/1/2013

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