What causes tooth pain if no cavities are seen on the X-ray?

Jun 26, 2024 Source: Cainiu Health
Disease description:

My teeth are in severe pain. I went to the hospital and had an X-ray, which showed no cavities. I would like to ask, what could be the cause of tooth pain if the X-ray shows no cavities?

Doctor's answer (1)
Dr. Guo Huijie
When X-ray results show no cavities but tooth pain persists, possible causes include: 1. Tooth wear: Long-term chewing of hard foods may lead to tooth wear, which can cause sensitivity and pain. 2. Cracked tooth: A tooth may develop an invisible crack after experiencing a sudden external impact. This type of crack might not be easily detected on X-rays, but can cause pain during chewing. 3. Gingivitis and periodontitis: Poor oral hygiene and the buildup of dental plaque and tartar may lead to gingivitis and periodontitis. These inflammatory conditions can cause tooth pain even in the absence of cavities. 4. Pulpitis: When the dental pulp becomes infected or injured, it can cause pulpitis, characterized by severe tooth pain that is difficult to localize. 5. Hormonal imbalances: Particularly in women, changes in the body's hormone levels, such as fluctuations in estrogen during menstruation or pregnancy, may lead to swollen and painful gums. It is recommended to seek timely medical attention for accurate diagnosis and treatment.