Why Does My Tooth Hurt After a Dental Filling? - Dentistry

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After getting a dental filling, the lower tooth is experiencing sharp pain?


Hello, doctor.
I just had the last tooth in my upper right quadrant filled this morning, but by the afternoon, I started experiencing sudden, intermittent pain in the tooth below it.
The dentist did not mention any cavities in the lower tooth during my appointment this morning, so I'm unsure if the pain in the lower tooth is related to the filling.

DO, 20~29 year old female. Ask Date: 2018/07/27

Dr. Zeng Guanghui reply Dentistry


The above situation should not be related to the dental filling mentioned earlier.
If there were no previously detected cavities in the lower teeth, the pain may be caused by gingivitis or periodontal inflammation.
It is recommended to return for a follow-up appointment for further examination by a dentist.

Reply Date: 2018/07/27

More Info


Experiencing pain in a tooth after a dental filling can be concerning and may arise from several factors. It's important to understand that dental procedures, including fillings, can sometimes lead to discomfort or pain in adjacent teeth, even if those teeth were not treated during the visit.

Firstly, it’s essential to consider that the tooth you had filled may still be sensitive due to the procedure itself. After a filling, especially if it was a deep filling close to the nerve, the tooth can be temporarily sensitive to pressure, temperature, or even air. This sensitivity can last for a few days to a week as the tooth adjusts to the new filling material. If the filling was particularly deep, it might have caused some inflammation in the pulp (the innermost part of the tooth containing nerves and blood vessels), leading to pain that could radiate to nearby teeth.

Another possibility is that the pain in the adjacent tooth is due to referred pain. This phenomenon occurs when pain is perceived in a different location than its source. The nerves in the dental region are interconnected, and sometimes, irritation or inflammation in one tooth can cause discomfort in another. If the tooth below the filled tooth has existing issues, such as a cavity or an infection, the stress of the dental procedure might have exacerbated those conditions, leading to pain.

Moreover, if the filling was not perfectly aligned with your bite, it could cause uneven pressure when you chew, leading to discomfort in the adjacent tooth. This misalignment can create a situation where the filled tooth is either too high or too low compared to the surrounding teeth, resulting in pain during biting or chewing.

It’s also worth considering that the tooth below the filled one may have had an undiagnosed issue, such as a cavity or a crack, which was not apparent during your dental visit. Sometimes, cavities can be difficult to detect, especially if they are located between teeth or below the gum line. If the dentist did not notice any issues with the lower tooth, it could still be developing a problem that became symptomatic after the filling procedure.

In any case, it is crucial to follow up with your dentist regarding the pain you are experiencing. They can perform a thorough examination, possibly including X-rays, to determine if there is an underlying issue with the lower tooth or if the pain is indeed related to the recent filling. If necessary, they may recommend further treatment, such as a root canal if there is pulpitis or another dental procedure to address any cavities or cracks.

In summary, pain in a tooth after a dental filling can stem from several causes, including post-operative sensitivity, referred pain, misalignment of the filling, or an undiagnosed issue in the adjacent tooth. It is essential to communicate your symptoms to your dentist promptly to ensure proper diagnosis and treatment. Remember, timely intervention can prevent further complications and help maintain your dental health.

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