Hello, me again with my never ending dental pain. I just got an evaluation from an endodontist about my upper back molar #15. It had off and on issues for years, but always resolved. First was a filling replacement 9 years ago which made it very sensitive for about a month (that is the large restoration in it, it was a composite that replaced an old amalgam back in 2007-8). The dentist at the time did topical application of desensitzer and told me to give it time which did work. Eventually pain went away for about 5 years. Then I bit on a pit 5 years ago and dentist said I "bruised the ligament". That went away after about a week. Then spontaneous pain about a year later, saw endo who said it was from impacted wisdom tooth next to it. Had wisdom tooth removed, pain went away for about 2 years. Then last year started getting random aches when chewing in that area, saw endo again, he said it was TMJ. Got a bite appliance, seemed to go away. However, last few months it got cold sensitive and bite sensitive. Saw my dentist, he said trauma from occlusion. He took it totally out of the bite, which caused it to get better, cold sensitivity gone now. But I still cannot bite on it. Saw a new endo (I stopped going to the old one for other reasons) who did few tests. The "tooth sleuth" was extremely painful to bite on. He said possible crack or "stressed tooth syndrome" causing symptomatic apical periodontitis and pulpitis. He said that the pulpitis was "probably" irreversable but nothing on xray shows immediate work needs to be done. He said I can wait as long as I want to see if it gets better or I could RCT or extract it. I also have mild pain with biting with the molar next to it, but that might just be referred pain. It was #15 which made me jump when I bit on the tooth sleuth. The pain is not constant, but if I chew anything on it, it aches for many hours afterwards. If I don't chew on it there is very little pain now that the pain to cold is gone.

I have had so many issues this year, I don't understand what is going on with my teeth. I am about to get an implant in 6 weeks on my root canal molar #19 I had extracted in June, and I also have had ongoing issues with tooth #7 as you might remember from earlier threads.

Is there anything you can think of to try to get the pulp to calm down? It is already out of occlusion and I am not chewing on that side. I am wearing a lower acrylic night guard to sleep. My holistic dentist just did an ozone injection above #15 but I have been in MORE pain since the injection, I am hoping this is temporary. He said we can try a weekly series but after this experience I don't think ozone injections are the right thing for this tooth.

The endo said that if I could get the pulp to calm down, I might get a few more years out of the tooth until I had to make any major decisions, and then I could be past my implant and have had time for the other teeth in my mouth to calm down so I can not have multiple areas in my mouth getting worked on at the same time. (I also need two old amalgam fillings replaced as well but have been afraid to do it as they are in my only chewing surface at the moment since I can't chew on my left due to #15 pain and the missing #19.)

I do not want to get another RCT nor another extraction. Do you have any ideas for me about what else I can do to help calm the pulp in the meantime, even if it just gives me another few pain free years?

Here are the xrays from the tooth. One set was from my dentist, the other from the endo because he wanted to take his own. Both say they see no sign of cracks or anything in the xrays. My dentist also looked with a dye and a light but said he sees nothing.

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