Dealing with Dental Mistakes: Pain After Wrong Tooth Filling - Dentistry

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The filling was placed incorrectly, causing sensitivity to biting, even though there is no pain from hot or cold stimuli?


Last month, I had a dental filling, and the doctor asked me to point with my tongue.
I indicated the lower right fourth tooth (which wasn't painful yet, so I wanted to get it filled quickly), but the doctor did not take an X-ray or use a probe to confirm and instead filled the previously treated lower right fifth and sixth teeth.
After the filling, problems arose.

1.
The fifth and sixth teeth were not painful, and I did not request treatment for them, but after the doctor filled them without my consent, I experienced pain when biting down on the same day.
Now, a month later, although I don't feel pain from hot or cold stimuli, I can't bite down, which is severely affecting my ability to use my teeth.
How should I handle this? (I don't want to undergo unnecessary root canal treatment and be forced to pay out of pocket for dentures; I already have four dentures, and this situation is draining my emotional and financial resources.)
2.
The lower right fourth tooth that I originally wanted to fill has not been treated, and I am hesitant to find another dentist.
How should I go about finding a dentist for treatment? (I am afraid of having the cavity drilled too deep or being subjected to a root canal when it currently doesn't hurt; I don't even feel anything when I probe it with a toothpick.) Thank you for your help.

Xue Xiansheng, 30~39 year old female. Ask Date: 2016/10/19

Dr. Lin Jiayong reply Dentistry


Hello: If you have any disputes or concerns regarding the treatment process, it is recommended that you first seek mediation from the local dental association or health department.
Wishing you peace and good health.

Reply Date: 2016/10/19

More Info


Dealing with dental issues, particularly after a filling or other dental work, can be quite distressing. Your situation, where you experienced pain after a dentist filled teeth that were not initially causing discomfort, raises several important points about dental care and how to address complications effectively.


Understanding the Pain After a Filling
1. Pain After Unnecessary Treatment: It is concerning that the dentist filled teeth that were not causing you any pain or discomfort. This can sometimes lead to complications, such as increased sensitivity or pain when biting down. The pain you are experiencing could be due to several factors:
- Overfilling: If the filling is too high, it can cause discomfort when biting, as the tooth may not be able to come together properly with its opposing tooth.

- Pulp Irritation: Even if the tooth was not initially painful, the process of drilling and filling can irritate the pulp inside the tooth, leading to sensitivity or pain.

- Underlying Issues: There may have been underlying issues with the teeth that were not addressed, such as cracks or decay that were not visible without X-rays.


Steps to Take
1. Seek a Second Opinion: Given your concerns about the previous treatment, it is advisable to seek a second opinion from another dentist. Look for a dentist who is known for their thoroughness and patient care. You might want to ask for recommendations from friends or family or check online reviews to find a reputable practitioner.

2. Communicate Your Concerns: When you visit a new dentist, be sure to explain your situation in detail. Mention that the teeth were not causing pain before the filling and describe the current symptoms. This will help the dentist understand your case better and provide appropriate treatment.

3. Diagnostic Imaging: Request X-rays to assess the condition of the teeth in question. This will help the dentist identify any underlying issues that may not be visible during a clinical examination.

4. Treatment Options: Depending on the findings, the dentist may recommend several options:
- Adjustment of the Filling: If the filling is too high, it can often be adjusted to relieve pressure and pain.

- Further Evaluation: If there are signs of decay or other issues, the dentist may suggest further treatment, which could include a new filling, a crown, or, in severe cases, root canal therapy.

- Monitoring: If the tooth is not currently causing pain, the dentist may suggest monitoring it for any changes.


Preventing Future Issues
1. Choosing the Right Dentist: When selecting a dentist, consider their approach to treatment. A good dentist will take the time to explain procedures, discuss potential risks, and ensure that you are comfortable with the treatment plan.
2. Regular Check-ups: Regular dental check-ups can help catch issues early before they become more serious. During these visits, ensure that your dentist performs a thorough examination and takes X-rays as needed.

3. Open Communication: Always feel empowered to ask questions about your treatment. If something doesn’t feel right or if you have concerns about a procedure, voice them. A good dentist will appreciate your involvement in your own care.


Conclusion
In summary, the pain you are experiencing after the unnecessary filling is likely due to a combination of factors related to the treatment itself. Seeking a second opinion and ensuring that you have a thorough examination with diagnostic imaging will be crucial in addressing your current pain and preventing future issues. Remember, your comfort and health should always be a priority in dental care, and you have the right to seek the best treatment possible.

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