nyuszisie,

I will re-post some of your statements and answer them in bold type.

<<Tooth #31 , I was at the dentist office 3 weeks ago for a pain I felt a few times, single tooth x ray didn't show anything wrong, actually it looked exactly the same like the last x ray of that tooth ( they showed me the two x rays on the screen one beside the other ) and the dr. did some kind a cold test on that tooth and the teeth next to it, they all reacted the same>>

TOOTH #31 HAS A FEW ISSUES. ONE IS THE TOOTH HAS SHIFTED AND IS SEVERELY LEANING INTO THE EMPTY SPACE IN FRONT OF IT. THE ANGULATION HAS CAUSED THE BONE TO RECEDE ALONG THE MESIAL ASPECT OF THE TOOTH. THIS IS THE AREA WHERE THE FILLING HUGS THE SIDE OF THE TOOTH. FOOD WILL TEND TO PACK IN THAT AREA CAUSING THE GUM TO BECOME IRRITATED AND INFLAMED. YOU MAY NOTICE ON/OFF PAIN AND EVEN SOME BLEEDING WHEN YOU BRUSH OR FLOSS THERE FROM TIME TO TIME. SECONDLY WHEN YOU CHEW THE UPPER PRE MOLAR IS HITTING AGAINST THAT SAME MESIAL AREA. WHICH AGAIN CAN CAUSE INTERMITTENT PAIN OR INFLAMMATION. THIRDLY, IT APPEARS THAT THERE IS RECURRENT DECAY UNDERNEATH THAT FILLING.

<<Tooth #14, the root canal was retreated last fall and I went for a follow up in March ( before the extraction story of this other tooth began ) and the root canal specialist said everything looks ok.>>

TOOTH #14 DOES NOT LOOK AT ALL HEALTHY ON THE PANOREX. IT HAS SEVERAL PROBLEMS AS I HAD MENTIONED IN MY OTHER POST. RE TREATING A TOOTH WITH A SECOND, THIRD, FOURTH ROOT CANAL HAS NO POSITIVE EFFECT ON THE TOOTH AS THERE IS NO ACCESS TO THE MANY HUNDREDS OF MICROSCOPIC CANALS THAT WILL CONTINUE TO HARBOR NECROTIC INFECTED NERVE TISSUE. SO THE RETREATMENT HAS NOT ALTERED THE BACTERIAL STATUS OF THIS TOOTH IN A POSITIVE WAY.

<<When you say pocketing and deep pocket ,what is that ?>>

WHEN AN AREA BECOMES OVERWHELMED WITH BACTERIA THE BONE WILL RECEDE. THIS CAUSES THE DEPTH OF THE POCKET, THE AREA BETWEEN THE TOP OF THE GUM LINE DOWN ALONGSIDE THE TOOTH, TO BECOME DEEP. IF THE GUM TISSUE ALSO RECEDES ALONG WITH THE BONE THEN THE POCKET MAY NOT BE DEEP BUT A PORTION OF THE ROOT WILL BE EXPOSED. YOU CLEARLY HAVE EVIDENCE OF POCKETING/RECESSION ON THE UPPER LEFT AND UPPER RIGHT NEXT TO EACH OF THOSE ROOT CANALED TEETH.

<<And when I had the sinus ct scan, the dr. mentioned that on the upper left I have a tooth in the sinus ?>>

BOTH OF YOUR UPPER LEFT MOLARS ARE IN CLOSE PROXIMITY IF NOT IN COMMUNICATION WITH YOUR SINUS. FROM THE APPEARANCE OF THESE TEETH ON THE PANOREX, I WOULD NOT BE SURPRISED IF TOOTH #14 IS INFECTING #12 AND #15. TOOTH #13 HAS BEEN REMOVED.