Problems with Dental Fillings

Tooth sensitivity that follows after getting a filling placed is typical. You may notice it reacts to pressure, air, sweet foods, or hot and cold substances. It can be worse with deeper fillings that reside close to the nerve. This will typically go away eventually and the interim solution is to simply avoid the things that cause it pain. If the pain persists after two weeks, or becomes to severe to handle, contact your dentist.

 

Filling Feels Sharp
Your tongue is sensitive to changes, so certain problems may only become apparent after the numbness subsides. Contact your dentist if there are any rough/sharp edges that need smoothed off.

Bite Pain
If you notice the pain occurs with your bite, your new filling may be interfering with your bite. It may have been left too “high” and need to be reshaped. This is often only noticeable once anesthetic wears off and you can chew normally again. You’ll want to take this situation seriously, as bite complications over time can contribute to developing TMJ.

Trouble When Touching Teeth
If the pain is a sharp shock caused when your teeth touch, it may be caused by two different metal surfaces touching each other. For instance, silver amalgam making contact with a gold crown on another tooth could set off sensitivity called ‘galvanic shock’. Within time, this should resolve on it’s own.

Toothaches
If the decay of your cavity was quite deep or close to the pulp of your tooth, you might get a toothache. This may indicate that the tissue is no longer healthy and you may need a root canal.

Referred Pain
If you sense pain in the other teeth besides the one that received the filling, there is likely nothing wrong with your teeth. The filled tooth is simply passing along “pain signals” to other teeth. This should subside over several weeks.

Allergies
Silver fillings can cause allergic reactions on very rare occasions. Usually patients who experience this have a family history of the problem and fewer than 100 cases have ever been reported, according to the American Dental Association. Symptoms may include a skin rash or itching. If this occurs, you’ll need to have the tooth restored with another material.

Deteriorated Fillings
Fillings can wear away, chip, and crack if they receive a lot of constant pressure from chewing, grinding, or clenching. If the seal between the tooth enamel and the filling breaks down, food particles and decay-causing bacteria can work their way under the filling and cause additional decay in the remaining tooth. If left untreated, it can infect the pulp and lead to an abscessed tooth.

There may not be enough tooth structure remaining to support a replacement filling if the filling is already large and the decay became extensive. You may require a crown instead.

 

Filling Falls Out
Brand new fillings that work loose may have been placed in a cavity that was improperly prepared, contaminated, or have been fractured from biting or chewing. Older fillings usually fail due to decay or fracturing of the remaining natural tooth structure.

If your pain is very deep and nothing else settles the pain, a root canal may be required.

 

If you’ve noticed any of these issues with your fillings, or you’re aware of deterioration, don’t continue to suffer – contact Dr. Arhiri at 610-647-7611 or email drarhiri@premiersmilespa.com to arrange an appointment

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