Why You Should Schedule a Follow-Up for Dental Fillings After Cleaning

After teeth cleaning, you need to schedule another appointment for dental fillings?

Today, I visited a brand new dental clinic.
After getting my teeth cleaned, the dentist informed me that I need to schedule another appointment for a filling because I have a cavity.
They explained that the reason for not doing the filling right away is due to the presence of blood and other factors after the cleaning, so it’s necessary to wait for a period of time before getting the filling to ensure that it adheres better and lasts longer.
In the past, at other clinics, I would usually get fillings done immediately after a cleaning.
Is this a new practice, or are they trying to increase the number of visits?

Tim, 20~29 year old female. Ask Date: 2020/06/25

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Tim,
Hello! There are actually pros and cons to consider! If the teeth are very dirty and there is a lot of tartar, and there is significant bleeding after a dental cleaning, then it is not an appropriate time to get fillings, as the materials are likely to come off easily.
However, if there is minimal bleeding after the cleaning, then it is possible to proceed with fillings.
Additionally, it is important to check whether the dentist's schedule allows for this.
Communication is key! Take care and wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/06/25

More Info

Scheduling a follow-up appointment for dental fillings after a cleaning is a common and recommended practice in dentistry. The rationale behind this approach primarily revolves around ensuring optimal conditions for the filling material to adhere properly to the tooth structure and to minimize the risk of complications.

When a dentist performs a dental cleaning, especially if it involves scaling and root planing, there can be some bleeding and inflammation of the gums. This is particularly true if there are areas of gum disease or if the cleaning is more extensive. The presence of blood and inflammation can create an environment that is less than ideal for placing a filling. If a filling is placed immediately after a cleaning, the blood and debris can interfere with the bonding process, potentially leading to a weaker seal and an increased risk of the filling failing prematurely.

Moreover, after a cleaning, the tooth surface may be more sensitive and vulnerable. Placing a filling immediately could exacerbate discomfort or sensitivity, making the experience less pleasant for the patient. By allowing some time to pass, the gums can heal, and the sensitivity can decrease, leading to a more comfortable experience when the filling is eventually placed.

Another important consideration is the type of filling material used. Many modern dental materials, such as composite resins, require a clean and dry surface for optimal adhesion. If there is any residual moisture or blood on the tooth surface, it can compromise the bond between the filling material and the tooth, leading to potential issues such as leakage, decay under the filling, or even the filling falling out.

In addition to these technical reasons, scheduling a follow-up appointment can also allow the dentist to monitor the condition of the tooth and surrounding tissues. If there are any changes in the tooth or if the patient experiences any discomfort, the dentist can address these issues before proceeding with the filling.

It is worth noting that while some dental practices may choose to place fillings immediately after a cleaning, this is not universally recommended. Each dental professional may have their own protocols based on their training, experience, and the specific needs of their patients. Therefore, it is not necessarily a matter of "tricking" patients into multiple visits; rather, it is about ensuring the best possible outcome for the dental work being performed.

In conclusion, scheduling a follow-up appointment for dental fillings after a cleaning is a prudent approach that prioritizes the health and longevity of the dental work. It allows for proper healing, minimizes discomfort, and ensures that the filling material adheres effectively to the tooth. If you have concerns about the necessity of multiple visits, it is always a good idea to discuss these with your dentist. They can provide you with detailed explanations of their treatment philosophy and the reasons behind their recommendations, helping you to feel more comfortable and informed about your dental care.

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