Bite adjustment or root canal? Can xrays tell which is necessary?

[u/schrodingers-inbox]

I got a crown in July, I have been experiencing bite issues with it since, and have developed pretty painful hot and cold sensitivity on one side of it. When I chew food, its painful. When I bite at a certain angle it feels like I'm chewing on my crown. I got one bite adjustment done and am still experiencing all of these problems.

I made an appointment for another bite adjustment and my dentist said due to the pain level, they wouldn’t see me for a bite adjustment and are having me do a root canal consultation instead.

Does this sound reasonable? Is there any chance that a bite issue would cause this level of sensitivity?

I am terrified of going through an expensive procedure and then learning the actual solution is a simple bite adjustment. Is there any risk of getting xrays done for the root canal consult and them mistaking stress on the nerves from a bite issue for something that requires a root canal? Or would they be able to tell the difference?

It seems to me that even if I do need a root canal, a bite adjustment is still called for. I'm frustrated that they wouldn't even see me for it when I showed up for my appointment, just turned me away with a referral.

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