Post-Filling Pain: Is It Your Tooth or Wisdom Teeth? - Dentistry

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It is common to experience pain after a dental filling?


Hello, last week I had a cavity filled on my lower right tooth.
After the filling, I experienced a sensitivity when biting down on that side.
When I returned for my next appointment to fill other cavities, I informed the dentist about the sensitivity.
The dentist checked and suggested that I monitor it, and if the pain persisted, I might need a root canal.
However, today when I went back to fill other cavities, the pain had spread to my cheek, and I also felt some discomfort when drinking cold water.
Occasionally, I also experience pain near my temple.
This time, the dentist mentioned that the pain could be due to my wisdom teeth.
I would like to know if the pain is indeed related to my wisdom teeth or if it could be due to the filling being too deep.
Thank you for your response.

Yu, 20~29 year old female. Ask Date: 2018/12/07

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Yu,
Basically, an X-ray examination and a clinical dental check-up are necessary for an objective diagnosis.
Generally, filling a cavity can be painful, and it may be due to the decay being too deep.
It is advisable to initially use a neutral material for the filling.
If the pain persists, a root canal treatment may be required.
Please communicate more with your dentist.
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/12/07

More Info


Understanding post-filling pain can be quite complex, especially when multiple dental issues are at play. Based on your description, it seems you are experiencing discomfort after a filling procedure, which has now escalated to include pain in your cheek and temple area. This situation raises several possibilities regarding the source of your pain, particularly whether it is related to the recently filled tooth or your wisdom teeth.

Firstly, it is important to recognize that dental fillings can sometimes lead to post-operative sensitivity. This sensitivity can manifest as a dull ache or sharp pain when biting down, especially if the filling is high or if the tooth is still healing. If you are experiencing pain when biting down, it could indicate that the filling is too high, causing undue pressure on the tooth when you chew. This is a common issue and can often be resolved by adjusting the filling.

However, the fact that your pain has extended to your cheek and temple suggests that there may be more at play. The pain you describe could potentially be referred pain, which occurs when pain is perceived in an area different from its source. For instance, issues with your wisdom teeth can lead to discomfort in adjacent teeth and even in the jaw or temple area. If your wisdom teeth are impacted or erupting improperly, they can exert pressure on surrounding teeth and tissues, leading to pain that may feel like it is radiating from the filled tooth.

Additionally, if the cavity in the tooth that was filled was particularly deep, it could have affected the pulp of the tooth, leading to pulpitis (inflammation of the dental pulp). This condition can cause significant pain and may require root canal treatment if the pulp becomes irreversibly damaged. The fact that your dentist mentioned the possibility of needing a root canal suggests that they are considering this as a potential cause of your discomfort.

It is also worth noting that dental anxiety or stress can exacerbate pain perception. If you are feeling anxious about your dental work, this could heighten your sensitivity to pain. Furthermore, if you are clenching or grinding your teeth (a common response to stress), this could lead to muscle tension and pain in the jaw, cheeks, and temples.

In conclusion, while it is possible that your wisdom teeth are contributing to your discomfort, it is equally plausible that the pain is related to the recent filling or the underlying condition of the tooth. I recommend following up with your dentist for a thorough examination. They may suggest taking X-rays to assess the condition of your wisdom teeth and the filled tooth. If the filling is determined to be the source of the pain, adjustments can be made. If the wisdom teeth are impacted or causing issues, a referral to an oral surgeon may be necessary.

In the meantime, you might find relief through over-the-counter pain medications, applying a cold compress to the affected area, and avoiding hard or chewy foods that could exacerbate the pain. Keeping your dentist informed about any changes in your symptoms is crucial for effective treatment.

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