Any dentists out there?

[random3]

Sorry I’m advance this might be a bit long.
I had a dull achey feeling in my upper right jaw on monday and by Tuesday this had progressed to shooting pains that felt like they were coming from my front teeth.
I went to the dentist to rule out/in my teeth (as I suffer from sinus infections and my dr. Has queried whether I have trigeminal neuralgia)
The dentist did x-rays all were fine. My one front tooth was a bit loose she told me to wear my mouth guard.

So I went to the dr. Couldn’t see a gp so a nurse practitioner prescribed me antibiotics in case it was a sinus infection and codeine and naproxen. I was convinced it was my teeth.

Fast forward to this evening and my tooth is constantly throbbing, feels heavy like it’s going to fall out, the gum around it is sore and it’s tender to touch. Also cold drinks send excruciating pain.
Painkillers not touching.

Everything was fine at the dentist in tuesday- she did wonder if I’d banged it. Can a knock/grinding cause these symptoms?

I’m absolutely scared stiff I’ll need a root canal. It’s typical it’s the weekend as there is nothing I can do for 48 hours!

Can sinus or trigeminal neuralgia actually make a tooth tender to the touch?

Can’t sleep so helpful to just get it out there

This is the x-ray from Tuesday
It’s the second from left giving me problems

Hi, not a dentist but I used to be a dental nurse.
I'd stick with wearing you night guard and trying to let the symptoms settle in time.
I know you've mentioned about pain to cold, what about hot?
Also is there any pain at night?

Grinding can also cause the tender throbbing pain you've described also. This happens when the force of the grinding/clenching causes inflammation to the periodontal ligament which helps attach the teeth to the jaw.

Not a dentist but I had similar with an upper front tooth. The tooth had never even had a filling, and x-rays were clear. I was actually clenching mine into my night guard, bruising the ligament as PP suggests. I now have a hard, lower guard.

Incidentally, at the time I was undergoing root canal with a specialist endodontist on a back tooth which I had also knackered through clenching. I asked him if he would do a root canal on the front tooth if it needed it, or if my own dentist would. He said he would be happy for any of his friends who were general dentists to do root canal on one of his front teeth, that it was very simple, and having him do it would be throwing money away. He actually used the phrase “bread and butter work”. He said his “rule” was that anything behind a pre-molar might be better done by a specialist as the teeth have more roots and multiple canals so can be complicated.