Is It Normal for Dental Fillings to Create a Bump After Treatment? - Dentistry

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It seems to be raised after the dental filling?


A few months ago, I had a cavity near my front tooth close to the gum line filled at the dentist's office.
Today, while brushing my teeth, I noticed that the resin surrounding the filled cavity is not adhering to the tooth surface and has instead formed a bump.
When I press it down, it temporarily sticks back, but after a short time, it pops up again.
Is this a normal phenomenon? Thank you, doctor, for answering my question!

Xiao Lin, 20~29 year old female. Ask Date: 2020/05/06

Dr. Huang Tingfang reply Dentistry


Dear Xiao Lin,
Hello! As mentioned, it is possible that the filling has partially come out.
Please return to the medical facility for treatment as soon as possible to prevent further deterioration.
Take care and I wish you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/05/06

More Info


It is not uncommon to experience some irregularities after dental fillings, including the formation of a bump or a raised area around the filling. However, it is important to understand the underlying reasons for this occurrence and what steps you should take to address it.

When a dentist places a filling, they use materials such as composite resin or amalgam to restore the tooth's structure and function. Ideally, these materials should bond well to the tooth surface, creating a smooth and even finish. However, several factors can lead to the situation you described, where the outer resin does not adhere properly and forms a bump.

1. Improper Bonding: If the bonding agent used during the filling process was not applied correctly or if the tooth surface was not adequately prepared, the filling material may not adhere properly. This can lead to a raised area that may feel loose or unstable.

2. Material Shrinkage: Some dental materials, particularly composite resins, can shrink slightly as they cure. This shrinkage can create gaps between the filling and the tooth structure, leading to the formation of a bump or a raised area.

3. Occlusal Issues: If the filling is too high or if there is an issue with your bite (occlusion), it can cause the filling to wear unevenly, leading to irregularities in the surface. This can also contribute to the sensation of a bump.

4. Post-Operative Changes: After a filling, the surrounding gum tissue may be inflamed or irritated, which can sometimes create the appearance of a bump. This is usually temporary and should resolve as the tissue heals.

5. Underlying Issues: In some cases, the presence of a bump could indicate an underlying issue, such as recurrent decay or an infection. If the filling is not sealing the tooth properly, bacteria can enter and cause further complications.

Given your description, it is advisable to schedule a follow-up appointment with your dentist. They can assess the filling and determine whether it needs to be adjusted or replaced. It is essential to address this issue promptly, as leaving it unresolved could lead to further complications, including pain, infection, or the need for more extensive dental work.

In the meantime, here are some tips to manage the situation:
- Avoid Hard Foods: Be cautious when eating hard or sticky foods that could dislodge the filling or exacerbate the bump.

- Maintain Oral Hygiene: Continue to brush and floss regularly, but be gentle around the area of the filling to avoid further irritation.

- Monitor Symptoms: Keep an eye on the bump. If it becomes painful, increases in size, or if you notice any swelling in the surrounding gum tissue, seek dental care immediately.

In summary, while it is not entirely unusual to notice a bump after a dental filling, it is crucial to have it evaluated by your dentist to ensure that it is not indicative of a more serious problem. Proper follow-up care will help maintain your dental health and prevent future complications.

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