Common Dental Filling Concerns: Discoloration and Sensitivity Issues - Dentistry

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Dental filling issues?


Hello, Doctor: I have a few questions I would like to ask you: 1.
I previously used silver powder to fill my lower molar, but recently I had a cavity replaced with resin.
After a few days, the inside of the tooth turned black; is this normal? 2.
Shortly after the filling, I started experiencing soreness in my upper teeth when eating, without a specific tooth being affected.
I had an examination before and there were no cavities, but I only feel pain when eating; otherwise, there are no issues.
Could this be related to the filling of my lower molar? The cavity in my molar was close to the nerve and somewhat deep.
3.
Will this condition improve? Thank you for your response, Doctor.

Xiao Q, 20~29 year old female. Ask Date: 2019/05/03

Dr. Lin Jiayong reply Dentistry


Hello: 1.
If it is confirmed that the silver filling has been completely removed at the time of the restoration, it should not turn black again within a few days.
2.
The upper and lower teeth should not be related; however, it is indeed possible for the recently restored composite resin teeth to experience sensitivity and discomfort, which is normal.
3.
The sensitivity and pain caused by the recently restored composite resin teeth will gradually subside.
If the pain persists for more than a month, it is recommended to return for follow-up and observation.
Thank you!

Reply Date: 2019/05/03

More Info


When it comes to dental fillings, particularly those made from resin or amalgam, patients often have concerns regarding discoloration and sensitivity. Let's address your questions one by one, providing a comprehensive understanding of the issues you are facing.

1. Discoloration of Dental Fillings: It is not uncommon for dental fillings, especially those made from composite resin, to change color over time. If you recently had a silver filling replaced with a resin filling and noticed that the tooth appears darker a few days later, this could be due to several factors. Composite resins can absorb stains from food and beverages, especially if you consume a lot of coffee, tea, or red wine. Additionally, if the filling is placed in a deep cavity, it may be close to the nerve, and the underlying tooth structure can also contribute to the discoloration. If the discoloration is significant or if you notice a dark line at the margin of the filling, it may indicate a problem with the seal or the material itself, and you should consult your dentist for further evaluation.

2. Sensitivity After Filling: Experiencing sensitivity or pain when eating after a dental filling is a common concern. This can occur for several reasons. If your upper teeth are sensitive after having a lower tooth filled, it may be due to the way your bite is aligned. Sometimes, when a filling is placed, it can alter the occlusion (the way your teeth come together), leading to discomfort when chewing. Additionally, if the cavity was deep and close to the nerve, the tooth may be more sensitive to pressure, temperature, or sweet foods. It’s essential to have your dentist check the occlusion and ensure that the filling is not too high, which can cause undue pressure on the opposing teeth.

3. Will the Sensitivity Improve?: In many cases, sensitivity after a filling can improve over time as the tooth adjusts to the new filling. However, if the sensitivity persists or worsens, it is crucial to return to your dentist for an evaluation. They may recommend treatments such as desensitizing toothpaste, fluoride treatments, or, in some cases, further intervention if there is an underlying issue, such as pulpitis (inflammation of the dental pulp).

In summary, while discoloration and sensitivity after dental fillings can be concerning, they are relatively common issues. It is essential to maintain good oral hygiene, avoid staining foods and beverages, and follow up with your dentist if you experience persistent problems. Regular dental check-ups can help catch any issues early and ensure that your fillings remain in good condition. If you have any further questions or concerns, don’t hesitate to reach out to your dental care provider for personalized advice and treatment options.

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