Communication in English between non-natives is sometimes a little challenging. A patient who is a post graduate student in Meiji University, one of the biggest private school in Tokyo, from Bangladesh came as a new patient. His chief complaint was pain in his right upper molars. He didn’t understand some dental words, so I had to replace them to other easier ones. In an initial X-ray, I found cavities and something like hard tissue between them which stuck to his gum causing inflammation. Decayed area didn’t attain to nerve ending inside, so the real cause of pain was the hard tissue. After removing it, filling was done. It was a fish bone chip! Where there is fish bone, there is pain.
Before treatment. Something hard(yellow arrow) was sticking between cavities(red arrow).
The fish bone chip