Severe Tooth Pain Three Weeks After Dental Filling: What to Do?

Severe pain occurred three weeks after dental filling?

Hello, Doctor.
I had two posterior teeth filled, one on the upper and one on the lower jaw.
The upper tooth only showed signs of potential decay on the surface, but the dentist said it hadn't reached the stage of a cavity yet.
However, for precautionary reasons, he still filled it.
The lower tooth had a deeper cavity.
After the fillings, both teeth have been very sensitive, especially when eating.
After 2-3 weeks, both teeth started to hurt together, causing pain that even radiates to my head.
Initially, the pain was only triggered by eating, but then it became spontaneous.
The pain comes in waves; sometimes it completely subsides, but after eating, the pain lingers for a long time.
I called the dentist, and he explained that the deep cavity was causing these issues, but I cannot agree with him.
The upper tooth does not have a cavity, just a potential one, yet it hurts more than the lower tooth with the deeper cavity.
I suspect there may be issues with his technique or the materials used.
What should I do now? I have already had two teeth that required root canals, and I do not want to undergo another root canal treatment.

Wenru, 20~29 year old female. Ask Date: 2016/06/23

Dr. Lin Jiayong reply Dentistry

Hello, whether a nerve block is necessary depends on the X-ray findings in conjunction with clinical symptoms.
It is recommended that you promptly return to your original treating physician to discuss the treatment plan!

Reply Date: 2016/06/23

More Info

Severe tooth pain following dental fillings can be a distressing experience, and it’s understandable that you’re concerned about the underlying causes and the appropriate steps to take. Based on your description, it sounds like you have had two fillings done recently, one of which was for a deeper cavity. The pain you are experiencing, especially if it has escalated to spontaneous pain and is affecting your daily life, warrants further evaluation.

Understanding Tooth Pain After Fillings
1. Post-Operative Sensitivity: It is not uncommon to experience some sensitivity after dental fillings, especially if the cavity was deep. This sensitivity can last for a few days to a few weeks. However, if the pain persists beyond this period or worsens, it may indicate a more serious issue.

2. Pulpitis: The pain you describe could be a sign of pulpitis, which is inflammation of the dental pulp (the innermost part of the tooth containing nerves and blood vessels). This can occur if the decay was close to the pulp or if the filling material has caused irritation.

3. High Filling: Sometimes, if a filling is too high, it can cause discomfort when biting down. This can lead to pain that radiates to other areas, including headaches.

4. Material Reaction: Some patients may have sensitivities or reactions to the materials used in fillings, which can also lead to pain.

5. Underlying Issues: If the tooth was already compromised due to decay, there might be underlying issues that were not fully addressed during the filling procedure.

Recommended Actions
1. Return to the Dentist: It is crucial to return to your dentist for a follow-up appointment. Explain your symptoms in detail, emphasizing the severity and nature of the pain. A thorough examination, including X-rays, may be necessary to assess the condition of the fillings and the health of the tooth.

2. Seek a Second Opinion: If you feel unsatisfied with your current dentist's response, it may be beneficial to seek a second opinion from another dental professional. They can provide an independent assessment of your situation.

3. Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage your discomfort. However, this is only a temporary solution, and addressing the root cause is essential.

4. Avoid Certain Foods: Until you can see a dentist, try to avoid very hot, cold, or sweet foods, as these can exacerbate sensitivity and pain.

5. Monitor Symptoms: Keep track of your symptoms, including when the pain occurs, its intensity, and any other associated symptoms (like swelling or fever). This information can be helpful for your dentist.

Conclusion
While it’s understandable to be apprehensive about further dental procedures, especially if you have had previous root canals, addressing the pain promptly is essential to prevent further complications. Ignoring the pain could lead to more severe issues, including the need for more invasive treatments like root canals or extractions.
In summary, return to your dentist for an evaluation, consider seeking a second opinion if necessary, manage your pain with over-the-counter medications, and avoid irritating foods. Your dental health is important, and taking proactive steps can help you find relief and ensure the longevity of your teeth.

Similar Q&A

Severe Pain After Dental Filling: Is It Normal and How Long Will It Last?

A few days ago, I visited the dentist, and the doctor said I have a deep cavity with a high likelihood of needing a root canal. I told him to proceed with the root canal. He drilled a hole in my tooth and placed a medicated dressing. Since I returned home, my tooth has been very ...

Dr. Zeng Guanghui reply Dentistry
Hello Ms. Cheng: Normally, pain should alleviate within 2-3 days. If the pain persists, it indicates that the nerve is still inflamed. I recommend returning for a follow-up appointment for continued treatment. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Severe Tooth Pain One Week After Filling: When to Seek Help?

Hello Doctor: I had a dental filling done last week. Initially, I didn't feel any discomfort, but after a week, I've started to experience increasing pain while eating. It has progressed from mild pain to severe pain whenever I drink water or eat. Should I seek another ...

Dr. Huang Tingfang reply Dentistry
Dear Mr. Andy, Hello! Dental fillings usually do not cause pain; however, there are two situations that may result in discomfort: 1. If the cavity is too deep and the nerve is exposed during the filling process, root canal treatment may be necessary. 2. If the cavity is deep and...

Understanding Post-Dental Filling Pain: Is It Normal?

After getting a dental filling on Wednesday, my tooth hurt but was bearable. The filling was done on a molar. Before the filling, there was no pain, but afterward, it continued to hurt. By Friday, the pain became unbearable, so I took some pain relievers. On Saturday night, the p...

Dr. Zhuang Suhui reply Dentistry
Hello: If the pain is really that severe, you may need to seek treatment. You should still visit the outpatient clinic for proper treatment.

Understanding Post-Filling Tooth Pain: Causes and Solutions

Doctor, I have a small cavity in my front tooth, and after getting it filled, I've been experiencing pain for three months (when drinking hot or cold water). The pain only occurs while drinking; it doesn't feel sensitive otherwise. Is this a reaction to the resin materi...

Dr. Lin Jiayong reply Dentistry
Hello: If the pain persists for more than three months, it is advisable to return to the original clinic for an examination. While anti-inflammatory medications can indeed alleviate tooth pain, they are usually not very effective in addressing the underlying cause of the dental p...