
My Tooth Hurts But the X-Ray Looks Fine — What Now?
A normal X-ray doesn’t mean nothing is wrong. Standard dental films are two-dimensional pictures of a three-dimensional structure, and they routinely miss cracks, early bone changes, and anything hidden behind overlapping roots or bone. Six things commonly cause genuine tooth pain with a clean film. Most are diagnosable — usually with better clinical testing, sometimes with better imaging. Why a 2D X-ray misses things Everything is flattened onto one plane.

