Unusual Sensations After Dental Filling: What You Should Know - Dentistry

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It feels strange after getting a dental filling?


Hello, I recently visited a clinic due to tooth pain, and the dentist said that my upper left second molar needs root canal treatment.
I then went to a dental department at a major hospital, where the dentist cleaned out the cavity and decided to fill it first, suggesting that we would monitor the situation.
During my follow-up appointment, they would ask about my pain levels and mentioned that root canal treatment might still be necessary.

For the first two days after the filling, I experienced pain similar to that of a healing wound, but by the third day, the pain became occasional.
However, after a week, the sensation has changed; it’s no longer just occasional pain but a constant feeling of soreness and pressure.
Drinking slightly cooler water causes sudden pain (I don’t have sensitive teeth, only that particular tooth has sensitivity).
The tooth feels very present, but it’s different from the pain I had before the appointment.
I’m unsure if this counts as tooth pain; it’s just uncomfortable.
Could there be a concern that the cavity wasn’t completely cleaned out before the filling?
During the last check-up, I also had a tooth in front of my canine filled, but after the filling, my tongue keeps touching the uneven filling material, making it feel like the filling might come out.
It’s very sensitive, and sometimes it even hurts.
I’ve never experienced such discomfort after a dental filling before.
Is this situation considered abnormal?

Sarah, 20~29 year old female. Ask Date: 2016/10/08

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Sarah,
Hello! As mentioned, this tooth may have a large cavity, and the dentist will first attempt to fill it in hopes of saving the tooth.
If you experience pain when biting or spontaneous pain afterward, root canal treatment will be necessary to restore the tooth's health and alleviate the pain.
Please communicate frequently with your dentist!
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/10/08

More Info


It sounds like you're experiencing a range of unusual sensations following your dental filling, and it's understandable to feel concerned about these symptoms. Let's break down what might be happening and what steps you can take moving forward.


Understanding Your Symptoms
1. Persistent Discomfort: The "soreness" and "pressure" you're feeling in your tooth, especially after a dental filling, can be attributed to several factors. After a filling, it's not uncommon for the tooth to feel sensitive or uncomfortable for a few days as it adjusts. However, if the discomfort persists beyond a week or worsens, it could indicate that the filling may not have adequately addressed the underlying issue, such as an incomplete removal of decay or potential pulp inflammation.

2. Sensitivity to Temperature: The sudden pain when consuming cold liquids suggests that the nerve inside the tooth may be reacting to temperature changes. This sensitivity can occur if the dental pulp is inflamed or if there is still decay present that wasn't fully removed during the procedure.
3. Feeling of Heaviness: The sensation of "heaviness" or a strong presence of the tooth can also be a sign of inflammation or irritation in the surrounding tissues. This can happen if the filling is too high or if there's pressure on the tooth from the opposing teeth when you bite down.

4. Concerns About the Filling: If you feel that the filling is uneven or if you can feel the material with your tongue, it may not have been polished or shaped correctly. This can lead to discomfort and may even affect your bite, causing additional strain on the tooth.


Next Steps
1. Return to Your Dentist: It's crucial to follow up with your dentist about these ongoing symptoms. They may want to take X-rays to ensure that there is no remaining decay and that the filling is properly placed. If the filling is too high, they can adjust it to alleviate any pressure.

2. Consider Root Canal Treatment: If your dentist suspects that the pulp is inflamed or infected, they may recommend a root canal treatment. This procedure involves removing the inflamed or infected pulp and sealing the tooth to prevent further issues. It's essential to address any potential pulpitis early to avoid more severe pain or complications.

3. Monitor Your Symptoms: Keep track of your symptoms, including when they occur and their intensity. This information can be helpful for your dentist in diagnosing the issue.

4. Oral Hygiene: Maintain good oral hygiene practices, including brushing and flossing gently around the affected area. Avoid very hot or cold foods and drinks until you have a clearer understanding of what's happening with your tooth.

5. Seek a Second Opinion: If you're not satisfied with the responses from your current dentist or if you feel your concerns are not being addressed, consider seeking a second opinion from another dental professional. They may provide additional insights or treatment options.


Conclusion
It's important to remember that dental procedures can sometimes lead to unexpected sensations as your mouth adjusts. However, persistent discomfort, especially accompanied by sensitivity to temperature, should not be ignored. By consulting with your dentist and possibly undergoing further evaluation, you can ensure that your dental health is properly managed and any underlying issues are addressed promptly. Your comfort and health are paramount, and taking proactive steps will help you achieve the best outcome.

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Dr. Huang Tingfang reply Dentistry
Dear Mr. T: Hello! As mentioned, it may be due to deep decay causing abnormal sensations. If it persists or worsens, a root canal may be necessary. Please communicate with your dentist frequently! Thank you! Wishing you well! Sincerely, Dr. Huang Ting-Fang, Dentistry.

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