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Go to the dentist obviously. To know specifically what it is, more information is needed but here are some possibilities:

could be a cavity occurring somewhere along the back tooth which will require a dentist to fix through cleaning, drilling and filling.

Or maybe if you are around your pre or early 20s, then it may be a sign of some impact among teeth caused by the development of the wisdom tooth which in turn causes some pain. Again, a dentist needed to confirm that.

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Q: What to do when your back tooth hurts?
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