Should I Replace a Lost Filling Before Root Canal Treatment?

Filling has fallen out?

Hello, Doctor.
Two days ago during my teeth cleaning, a piece of my filling came off.
The dentist decided not to replace it and scheduled me for a root canal next week.
However, this morning when I woke up and had a sip of water, the filling came off again.
Should I go in to have it replaced sooner, or can I wait until my root canal appointment next week? Thank you very much for your response! ^^

Niming, 10~19 year old female. Ask Date: 2018/07/26

Dr. Zeng Guanghui reply Dentistry

After teeth cleaning, the previously filled area may have fallen out, possibly due to deep decay affecting the dental nerve.
Therefore, an appointment is made for a root canal treatment.
The fallen area may be temporarily filled, but it will not be very secure.
It is recommended that if the area where the filling has fallen out easily accumulates food debris, you should return to the dentist for a temporary refill.

Reply Date: 2018/07/26

More Info

When it comes to dental care, particularly regarding fillings and root canal treatments, it's essential to understand the implications of delaying treatment and the condition of your tooth. In your case, since you've experienced a loss of filling and are scheduled for a root canal treatment next week, there are a few factors to consider.

Firstly, it's important to recognize that a filling serves to protect the tooth from further decay and to maintain its structural integrity. When a filling falls out, the exposed tooth can become vulnerable to bacteria and further damage. This is particularly concerning if you are experiencing symptoms like pain or sensitivity, which may indicate that the tooth is already compromised.

In your situation, since the filling has fallen out again, it would be prudent to consult your dentist before your scheduled root canal appointment. While some dentists may choose to wait until the root canal procedure to address the filling, others may recommend replacing it sooner to prevent any potential complications. If the tooth is left unprotected, it could lead to further decay, which may complicate the root canal treatment or even lead to an infection.

Additionally, if the tooth is already infected or if there is significant decay, the dentist may need to address these issues during the root canal treatment. If the tooth is not adequately protected before the procedure, it could lead to increased discomfort or complications during the root canal process.

In summary, while it may be possible to wait until your root canal appointment to address the lost filling, it is generally advisable to have it replaced sooner rather than later. This will help protect the tooth and ensure that the root canal treatment can be performed effectively. I recommend contacting your dentist to discuss your situation and see if they can accommodate an earlier appointment to replace the filling. This proactive approach can help minimize the risk of further complications and ensure a smoother treatment process.

Moreover, after the root canal treatment, it's crucial to follow up with your dentist regarding the placement of a permanent restoration, such as a crown, to protect the tooth and restore its function. Neglecting to do so can lead to further issues down the line, including the risk of fracture or reinfection.

In conclusion, while it might be tempting to wait until your scheduled appointment, addressing the lost filling sooner can help safeguard your dental health and ensure a more successful outcome for your root canal treatment. Always prioritize communication with your dental care provider to make informed decisions about your treatment plan.

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