Dental Fillings: Is Your Tooth Still Sensitive After a Week?

Regarding out-of-pocket dental fillings?

I had a dental filling (ceramic inlay) done on my lower right molar last week, and the dentist said it was successfully placed.
However, after a week, I'm still having difficulty biting down on hard foods.
Is this normal, or could it be due to the filling being too high? If I need to return for a follow-up, do I have to go back to the original clinic?

Ms. Li, 20~29 year old female. Ask Date: 2016/04/15

Dr. Huang Zhicheng reply Dentistry

Hello, after receiving a ceramic inlay restoration, it is not recommended for patients to bite down on hard, hot, or cold items too quickly.
It may take some time for any discomfort to improve.
If you feel that the restoration is too high, please return to the clinic for an examination.
The original clinic will be more familiar with your specific condition.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/15

More Info

It's not uncommon to experience sensitivity or discomfort after getting a dental filling, especially if the filling is deep or if the tooth was previously decayed. When you have a dental filling, particularly a ceramic inlay or onlay, the tooth structure is altered, and it may take some time for your tooth to adjust to the new material. Here are some insights into why you might still be experiencing sensitivity a week after your procedure and what steps you can take next.

Reasons for Ongoing Sensitivity
1. Height of the Filling: One of the most common reasons for discomfort after a filling is that the filling may be slightly too high. If the filling is higher than the surrounding tooth structure, it can cause discomfort when biting down, as it puts extra pressure on the tooth. This can lead to sensitivity and pain, especially when chewing hard foods.

2. Nerve Irritation: The process of drilling out decay and placing a filling can irritate the nerves inside the tooth. This irritation can lead to temporary sensitivity, especially to temperature changes (hot or cold) and pressure.

3. Depth of the Filling: If the cavity was deep and close to the pulp (the innermost part of the tooth containing nerves and blood vessels), the tooth may remain sensitive for a longer period. In some cases, if the pulp is inflamed, it may require further treatment, such as a root canal.

4. Material Reaction: Different materials used in fillings can react differently with the tooth structure. Some patients may experience sensitivity due to the materials used in the filling, especially if they have a history of dental sensitivity.

5. Underlying Issues: If there were pre-existing issues with the tooth, such as cracks or fractures, these may also contribute to ongoing sensitivity after the filling.

What to Do Next
1. Return to Your Dentist: If the sensitivity persists beyond a week or worsens, it is advisable to return to your dentist. They can assess the filling's height and make adjustments if necessary. If the filling is too high, a simple adjustment can often alleviate the discomfort.

2. Seek a Second Opinion: If you feel uncomfortable returning to the original clinic or if you have concerns about the treatment you received, it is perfectly acceptable to seek a second opinion from another dentist. They can provide an independent assessment of your tooth and the filling.

3. Monitor Your Symptoms: Keep track of your symptoms. If you notice any swelling, increased pain, or if the sensitivity does not improve, these could be signs of a more serious issue that needs to be addressed.

4. Use Desensitizing Toothpaste: In the meantime, using a desensitizing toothpaste can help manage sensitivity. Products like Sensodyne can provide relief for sensitive teeth.

5. Avoid Hard Foods: Until you have a chance to see your dentist, try to avoid biting down on hard foods with the affected tooth to prevent further irritation.

Conclusion
In summary, experiencing sensitivity after a dental filling is not unusual, but it should gradually improve. If you find that the discomfort persists or worsens, it’s essential to consult with your dentist for an evaluation. Whether you choose to return to the original clinic or seek a second opinion, addressing the issue promptly can help ensure your dental health and comfort. Remember, your oral health is paramount, and you have the right to seek the best care possible.

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