Uneven Dental Filling: Risks and Solutions for Your Oral Health - Dentistry

Share to:

The filling is uneven?


Hello, Doctor.
Previously, I had a cavity on the proximal surface of my molar near the gum line, and after visiting the clinic for a filling, I still feel that the surface is uneven (with a sharp area located on the inner side of the tooth junction near the gum).
When I use dental floss, it tends to get caught or fray, and I can also feel the sharpness with my tongue.
I went back to the original dental clinic to ask the dentist for adjustments, but she said she couldn't improve it further.
I would like to ask if an uneven filling could lead to a higher risk of recurrent cavities? Additionally, could consistently catching the dental floss on it cause the gap between the filling and the tooth to widen or even lead to the filling coming loose? Should I seek a consultation at another clinic to see if the uneven areas can be smoothed out? Or are these concerns not as significant as I imagine, and I shouldn't worry too much? Thank you, Doctor!

Pao Fu, 20~29 year old female. Ask Date: 2020/05/28

Dr. Lin Jiayong reply Dentistry


Hello: If the tooth is not suitable for filling, it may indeed result in poor restoration after a hard filling.
Repeated filling and reshaping may cause even greater damage to the tooth.
It may be worth considering an inlay/onlay or even a crown to restore the tooth properly.
I recommend discussing this first with your original treating dentist.
If you are still not satisfied with the outcome, it may be advisable to seek further consultation and treatment at a medical center.
Thank you!

Reply Date: 2020/05/28

More Info


Uneven dental fillings can indeed pose several risks to your oral health, and it’s important to address these concerns proactively. When a dental filling is not properly shaped or smoothed, it can lead to a variety of complications, including increased risk of recurrent decay, discomfort, and even damage to adjacent teeth.

Firstly, if the filling is sharp or has an uneven surface, it can create areas where plaque and food particles can accumulate. This is particularly concerning because these areas are more difficult to clean effectively with regular brushing and flossing. Over time, this accumulation can lead to the development of new cavities, especially if the filling is located near the gum line where bacteria thrive. The sharp edges can also irritate the gums, leading to inflammation or gum disease.

Using dental floss in areas where the filling is uneven can indeed cause the floss to snag or break, which not only makes it difficult to maintain proper oral hygiene but can also create additional gaps between the filling and the tooth. This can further exacerbate the risk of decay, as bacteria can infiltrate these gaps and lead to secondary caries. If the filling is not well-contoured, it may also affect your bite, leading to discomfort or even jaw issues over time.

Given your situation, it is advisable to seek a second opinion from another dental professional. Different dentists may have varying levels of expertise and techniques for addressing uneven fillings. A skilled dentist may be able to smooth out the filling or reshape it to ensure it fits properly with your natural tooth structure. This could involve polishing the filling or, in some cases, replacing it entirely if it is deemed necessary.

In the meantime, it’s crucial to maintain excellent oral hygiene practices. Continue to brush your teeth at least twice a day with fluoride toothpaste and floss daily, being gentle around the area of the uneven filling to avoid causing further irritation. You might also consider using an antibacterial mouthwash to help reduce plaque buildup in hard-to-reach areas.

If you experience any pain, sensitivity, or signs of infection (such as swelling or pus), it’s important to contact a dentist immediately. These symptoms could indicate that the filling is not only uneven but may also be failing or that there is an underlying issue that needs to be addressed.

In summary, while an uneven dental filling may not seem like a pressing issue, it can lead to significant oral health risks if left unaddressed. Seeking a second opinion and ensuring proper oral hygiene are essential steps to take. Your oral health is paramount, and addressing these concerns early can help prevent more serious complications in the future.

Similar Q&A

Impact of Uneven Tooth Grinding on Bite Function and Dental Health

If a dentist has reduced the size of a filled molar significantly, and has also reduced the size of other molars, resulting in an uneven bite where one side is not making proper contact while the other side is tightly occluded, will the chewing ability of the teeth be compromised...


Dr. Lin Jiayong reply Dentistry
Hello: In most cases, it is necessary for both sides to have an even occlusion; otherwise, prolonged unilateral occlusion can lead to joint inflammation or wear. It is advisable to return to the original clinic to consult with the dentist regarding any follow-up treatment plans (...

[Read More] Impact of Uneven Tooth Grinding on Bite Function and Dental Health


Uneven Cheeks: Dental Concerns and Possible Causes Explained

Hello Doctor: In the past few months, I have noticed something in the gums of my left upper molar area, and the cheeks on both sides feel different when I touch them. However, there doesn't seem to be anything visible from the outside or inside. Sometimes it hurts when I pre...


Dr. Zhang Xiangyuan reply Dentistry
Dear online friend, Based on your description: (1) If a dental filling has fallen out, you can ask a dentist to examine it and determine whether it can be promptly refilled or treated based on the situation. (2) If there is pain or asymmetry upon palpation of the cheeks, it is a...

[Read More] Uneven Cheeks: Dental Concerns and Possible Causes Explained


Advanced Dental Filling Techniques for Tooth Wear and Damage

Dr. Tseng noted that during a dental cleaning last year, he discovered that due to wear, there were already cavities near the gums. The dentist mentioned that this was caused by improper brushing and excessive force. The dentist used a type of material to fill the cavities, but i...


Dr. Zeng Guanghui reply Dentistry
Hello, sir: The wear at the gum line of the teeth is generally caused by horizontal brushing and excessive force during tooth brushing, which accumulates over time. A material that has bonding properties can be used to fill in the worn areas, preventing sensitivity in the teeth. ...

[Read More] Advanced Dental Filling Techniques for Tooth Wear and Damage


Understanding Dental Fillings and Crown Replacement: Key Considerations

Hello, I have some questions regarding dental fillings and crown replacements. Thank you for your assistance! Regarding dental fillings: 1. What are the differences in the resin materials used for private-pay composite fillings versus those covered by national health insurance? ...


Dr. Lin Jiayong reply Dentistry
Hello: 1. Regarding dental fillings: It is necessary to confirm the warranty issues with the dentist. As you mentioned, if you choose to use out-of-pocket resin, how long is the warranty period? If there is damage or discoloration afterward, what additional costs will be incurr...

[Read More] Understanding Dental Fillings and Crown Replacement: Key Considerations


Related FAQ

Dental Filling

(Dentistry)

Tooth Alignment

(Dentistry)

Lost Filling

(Dentistry)

Bruxism

(Dentistry)

Oral Cavity

(Dentistry)

Halitosis

(Dentistry)

Tooth Gap

(Dentistry)

Occlusion

(Dentistry)

Silver Filling

(Dentistry)

Periodontal Disease

(Dentistry)