Should You Wait or See a Dentist for New Cavities After Filling?

Dental filling for cavities?

I recently had a dental filling, but shortly after, I discovered a small black hole next to the filled tooth.
I brush my teeth every day, and I've heard that you shouldn't see the dentist again too soon after a filling.
Should I wait a while before seeing the dentist, or should I go immediately? Is this situation normal?

Xiao Feng, 10~19 year old female. Ask Date: 2016/03/20

Dr. Zeng Guanghui reply Dentistry

In this situation, you should return to the dentist for an examination to check for recurrent cavities, and request further treatment from the dentist.

Reply Date: 2016/03/20

More Info

After having a dental filling, discovering a new cavity or a dark spot near the filled tooth can be concerning. It’s important to understand the implications of this situation and how to proceed.
First, it's essential to recognize that dental fillings are designed to restore the structure and function of a tooth affected by decay. However, if you notice a new cavity or dark spot shortly after a filling, it could indicate several possibilities. The new cavity may be a result of ongoing decay that was not fully addressed during the initial treatment, or it could be a new cavity that developed due to factors such as dietary habits, oral hygiene practices, or even the natural progression of dental health issues.

In terms of timing for seeing a dentist, it is generally advisable to consult with your dentist as soon as you notice any changes in your dental health, especially if you see a new cavity. While it’s true that some dentists recommend waiting a short period after a filling to allow the tooth to settle, this typically applies to sensitivity or discomfort rather than the appearance of new decay. If you see a visible change, it’s better to err on the side of caution and seek professional advice.

Here are some key points to consider:
1. Oral Hygiene: Ensure that you are maintaining good oral hygiene practices, including brushing twice a day with fluoride toothpaste and flossing daily. This is crucial in preventing further decay, especially after a filling.

2. Dietary Factors: Be mindful of your diet. Sugary and acidic foods can contribute to tooth decay. Limiting these can help protect your teeth, especially in the vulnerable period after a filling.

3. Regular Check-ups: Regular dental check-ups are vital for monitoring your oral health. If you have recently had a filling, your dentist may want to see you sooner than your regular appointment to ensure everything is healing correctly.

4. Sensitivity and Pain: If you experience any pain, sensitivity to hot or cold, or discomfort when biting down, these symptoms should prompt an immediate visit to your dentist. They can assess whether the filling is intact and if there are any underlying issues.

5. Follow-up Care: After a filling, your dentist may provide specific instructions regarding follow-up care. If you were advised to wait for a certain period, it might be related to the healing process of the tooth or the filling material. However, visible signs of decay should not be ignored.

In conclusion, while it’s essential to follow your dentist's advice regarding post-filling care, the appearance of a new cavity or dark spot warrants prompt attention. It’s always better to be proactive about your dental health. Schedule an appointment with your dentist to evaluate the situation. They can provide a thorough examination, possibly including X-rays, to determine the extent of the decay and recommend the appropriate treatment. Remember, early intervention can save you from more extensive and costly procedures down the line.

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