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Which tooth is the source of pain?

The patient presented with pain in the lower right region. Tooth 47 is severely painful on percussion, while tooth 46 has a larger lesion and is tender to percussion, but less than 47. How can I determine which tooth is the source of the acute pain?

Translated version of the Turkish original

It is useful to start with the tooth in which the radiological problem is more apparent. Pain from neighbouring teeth is frequently confused.

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.