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I found the pain from the root canal was virtually non existant, and the process was no worse than getting a regular filling. From what I understand, molars are more complicated to do than other teeth because they have multiple roots, and if one is hidden the dentist can miss it, and that will trap some bacteria. For my tooth, the doctor just filed out the root and he said he put some anti-bacterial stuff in there too to kill anything that might be left in there. I think the reason they try to get you to save the tooth is because if you take an adult tooth out, it can make the other teeth spread out or tip over from the stress of chewing, and it can fuck up your whole row of teeth or jawline.
Having re-read your symptoms though, maybe you should go and see a doctor just in case... you have to be careful about anything with spines.
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