My # 19 had a crown on it in 2007 from an old filling. No aches, no pains, nothing. Just a crown as the filling was around 30 years old. The tooth did have a pins as the tooth broke and they build around it years and years ago. Root canal in Dec 2008. All good up to April. Now starting to Ache. Endodontist did the root canal and checked and said, the root canal looked good, but still aching and getting worse. General dentist checked it this week, said the root canal was good, but possibly a fracture in the tooth not showing in the Xray due to the Crown. General Dentist stated, options, do the root canal again, or extract and implant. Depending on how much I wanted to spend, that is , try the root canal to save the tooth but if it is a fracture, that will not fix it and wasted money. Is this the only option??? Ache is from jaw and goes up into ear or jaw area..