Dealing with Discomfort After Dental Fillings: What to Do Next?

Experiencing discomfort while eating after a dental filling?

Hello, Doctor.
When I went for a dental check-up, the dentist told me that I had cavities on all four sides, and I needed four fillings.
The fillings on the upper right and lower left went well without any issues.
However, after the filling on the lower right, I experienced pain when biting down on food that same evening.
I returned to the dentist for adjustments, which significantly improved the situation, allowing me to chew food.
However, when I bite into harder or chewier foods, I feel a large area of occlusal pain, with a specific point of sharp pain (likely in the center of the first molar).
I had a second adjustment, but it did not resolve the issue.

The upper left tooth has a similar occlusal problem, likely also involving the first molar, with cold and hot sensitivity and occlusal pain.
However, unlike the lower right tooth, which has a specific point of sharp pain, this tooth feels more like the soreness experienced when eating with braces.
I have also had this tooth adjusted, but when I returned home and ate, I found it still uncomfortable.
It has been two weeks since the filling on the lower right tooth and one week since the filling on the upper left.
The dentist advised me to monitor the cold and hot sensitivity, but regarding the occlusal adjustments, the dentist mentioned they were unsure where to grind.

Could you please advise me on what I should do? Thank you.

Ai Chi De Da Xue Sheng, 20~29 year old female. Ask Date: 2017/01/18

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Food-Loving College Student,
Hello! Regarding your concern, if the filling on your lower right tooth is uncomfortable, we need to consider whether the original cavity was too deep, which may have caused nerve discomfort.
You might require retreatment.
Please communicate more with your dentist.
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/01/18

More Info

Dealing with discomfort after dental fillings can be a frustrating experience, especially when the pain persists despite adjustments made by your dentist. Based on your description, it seems you are experiencing a combination of localized pain and sensitivity in your molars after receiving fillings. Here’s a structured approach to managing your discomfort and understanding the next steps.

Understanding the Pain
1. Localized Pain: The sharp, specific pain you feel when biting down on hard or chewy foods could indicate that the filling is too high, causing an improper bite (malocclusion). This can lead to excessive pressure on the tooth when chewing, resulting in pain.

2. Sensitivity: The cold and heat sensitivity you experience, especially in the left upper molar, is common after dental work. This can occur due to the irritation of the dental pulp or the exposure of dentin during the filling process.
3. Post-Operative Changes: It’s important to note that after a filling, your teeth may take some time to adjust. However, if the pain persists beyond a few weeks or worsens, further evaluation is necessary.

Steps to Take
1. Monitor Symptoms: Keep a detailed record of your symptoms, including when the pain occurs, the type of food that triggers it, and any other sensations you experience (like swelling or prolonged sensitivity). This information will be valuable for your dentist.

2. Follow-Up Appointment: Schedule a follow-up appointment with your dentist as soon as possible. Explain your symptoms clearly, emphasizing the localized pain and sensitivity. Your dentist may need to adjust the filling again to ensure it is not too high or may need to check for other underlying issues.

3. Avoid Hard Foods: In the meantime, avoid hard, crunchy, or chewy foods that exacerbate the pain. Stick to softer foods that require less chewing, which can help minimize discomfort.

4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult your dentist before taking any medication, especially if you have underlying health conditions or are taking other medications.

5. Oral Hygiene: Maintain excellent oral hygiene to prevent any potential complications. Brush gently around the filled areas and consider using a toothpaste designed for sensitive teeth.

6. Consider a Second Opinion: If your symptoms do not improve after your dentist's adjustments, consider seeking a second opinion from another dental professional. They may provide additional insights or treatment options.

Potential Treatments
- Adjustment of Fillings: If the filling is too high, your dentist can adjust it to ensure your bite is even, alleviating the pressure on the affected tooth.

- Root Canal Treatment: If the pain persists and is indicative of pulpitis (inflammation of the dental pulp), a root canal may be necessary to remove the inflamed tissue and relieve pain.

- Dental Crown: If the tooth is significantly damaged or if the filling is large, your dentist might recommend placing a crown to provide additional support and protection.

Conclusion
In summary, it’s crucial to communicate openly with your dentist about your ongoing discomfort. Persistent pain after dental fillings is not uncommon, but it should not be ignored. By monitoring your symptoms, following up with your dentist, and adhering to recommended care practices, you can work towards resolving your discomfort effectively. Remember, your oral health is paramount, and addressing these issues promptly can prevent further complications down the line.

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