Pain after root canal treatment and assessment

I had retreated a lower number 6 tooth and filled it in a single visit with MTA using a single cone. Some MTA had extruded at the apex. The patient had severe pain. I have a radiograph, but I cannot send it to you right now; I think permission is needed. Can MTA extrusion cause pain?

Translated version of the Turkish original

The materials used with gutta-percha are bioceramic sealers, not actually MTA. Anything extruded beyond the apex can cause pain for a while.

Author of the original answer: Doç. Dr. İsmail Davut Çapar

Medical review of the Turkish original:

Turkish answer published on this website:

Translation published:

The review date refers to the Turkish original; it does not indicate a separate medical review of the translation.