A 23 yo fit and well patient presented to the dental casualty clinic about
14 days ago.

She told me that her dentist back in Italy had replaced an amalgam MOD in UR
5 with composite as the amalgam had cracked and she had some marginal
leakage.

She told me that the, "dentist took a little longer because the cavity was
very deep and he did not want to hurt the nerve.", She had another
appointment so the dentist hurried. When it was time to check the occlusion,
she told the dentist that everything was ok so she could get out.

The tooth was TTP, and she was chewing on the opposite side.

The Mesial aspect had a ledge on it, which I removed with a microfine. I
adjusted the occlusion and told her it may take about 10 days for the pain
to settle down.
The casualty nurse told me that she had phoned up and the pain is still
there, and she cant bite.

The distal aspect was fine.

I found this a bit odd, even though I know that the tooth is slightly out of
occlusion.

Any hints?

I will be taking a PA as well.