Is It Normal for Adjacent Teeth to Be Worn Down After Filling? - Dentistry

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After getting a dental filling, I noticed that the edge of the adjacent tooth has been worn down?


Hello Doctor: Last Friday (April 26), I visited a new dentist to fill the second-to-last tooth on the lower left side.
However, today I noticed that the surface of the last tooth on the lower left, which is in contact with the second-to-last tooth, has been ground down to a flat surface.
Is this normal? Currently, I have no discomfort, and there are no issues with usage or occlusion.
I would like to ask if this could be due to human error or if it was necessary to grind down the adjacent tooth because of the angle of the filling? Thank you!

Niming, 20~29 year old female. Ask Date: 2019/04/29

Dr. Lin Jiayong reply Dentistry


Hello: During a comprehensive occlusal adjustment, it is indeed possible to adjust adjacent teeth.
However, it is advisable to discuss this with your dentist beforehand.

Reply Date: 2019/04/29

More Info


When it comes to dental fillings, it is not uncommon for adjacent teeth to experience some wear after a filling procedure. However, whether this wear is normal or indicative of a problem depends on several factors, including the technique used by the dentist, the materials involved, and the individual’s bite alignment.

Firstly, dental fillings are designed to restore the function and integrity of a tooth that has been compromised by decay or damage. When a dentist places a filling, they often need to adjust the surrounding teeth to ensure that the bite is even and that the new filling does not interfere with the patient’s normal chewing function. This adjustment can sometimes lead to wear on adjacent teeth, especially if the filling is larger or if the bite is not properly aligned after the procedure.

In your case, the fact that you have noticed a flat surface on the adjacent tooth after the filling could be due to a few reasons:
1. Bite Adjustment: If the filling was placed in a way that altered your bite, it may have required the dentist to adjust the adjacent tooth to ensure that your teeth come together properly when you bite down. This adjustment can lead to wear on the adjacent tooth, especially if the filling is high or if there is an improper occlusion.

2. Material Properties: The type of filling material used can also play a role. Some materials are harder than others and can cause more wear on adjacent teeth. For example, amalgam fillings are generally harder than composite resin fillings, which can lead to more wear on neighboring teeth.

3. Natural Wear: It’s also important to consider that teeth naturally wear down over time due to normal chewing and grinding. If the adjacent tooth was already susceptible to wear, the new filling might have accelerated this process.

4. Dental Technique: If the dentist did not properly contour the filling or if they used an aggressive technique, it could lead to unnecessary wear on adjacent teeth. This is why it is crucial to choose a skilled and experienced dentist who pays attention to detail.

Since you mentioned that you are currently not experiencing any discomfort or issues with your bite, it may not be an immediate concern. However, it is essential to monitor the situation. If you start to notice sensitivity, pain, or changes in your bite, it would be advisable to return to your dentist for an evaluation. They can assess whether the wear is excessive and if any corrective measures are necessary.

In conclusion, while some wear on adjacent teeth after a filling can occur, it should not be significant or lead to discomfort. If you have concerns about the wear you are observing, it is always best to discuss them with your dentist. They can provide insight into whether the wear is within normal limits or if further action is needed. Regular dental check-ups are also crucial in maintaining oral health and addressing any issues before they become more serious.

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