The dental filling seems to be too high?
Hello, Doctor: This afternoon, I had a filling done on the third tooth from the back on the lower right side at the dentist.
After the procedure, the doctor had me use red paper to check the height, but when I got home, it still feels a bit high, and I can clearly feel the upper and lower teeth colliding.
Additionally, since it was just filled, it is very sensitive and hurts when touched.
Is it possible for the tooth to gradually become level on its own without needing to see the dentist again, or is it necessary to have it adjusted?
Juby, 30~39 year old female. Ask Date: 2020/07/08
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended that you first undergo occlusal adjustment for the best results.
Thank you!
Reply Date: 2020/07/08
More Info
When it comes to dental fillings, particularly after a recent procedure, it is not uncommon to experience sensitivity or the sensation that the filling feels too high. This can lead to discomfort when biting or chewing, as well as a feeling of pressure or pain in the affected tooth.
From your description, it sounds like you had a filling placed on your lower right third molar, and despite the dentist's attempt to adjust the height using red paper, you still feel that the filling is too high. This is a common issue, and it’s important to address it properly to avoid further complications.
Firstly, it is crucial to understand that dental fillings should be adjusted to ensure that they are at the correct height. If a filling is too high, it can cause an uneven bite, leading to excessive pressure on the tooth and surrounding structures. This can result in discomfort, sensitivity, and even pain. Over time, an uncorrected high filling can lead to issues such as tooth mobility, gum irritation, or even fractures in the tooth.
While some patients may wonder if the tooth will naturally adjust over time, it is generally not advisable to wait for this to happen. Teeth do not naturally wear down to correct a high filling; rather, the pressure from biting can exacerbate the problem, leading to further discomfort and potential damage. Therefore, it is recommended that you return to your dentist for an adjustment.
During your visit, the dentist can use a technique called occlusal adjustment, where they will check your bite and make precise modifications to the filling. This process typically involves using articulating paper to identify high spots and then carefully grinding down the filling to achieve a comfortable bite. This adjustment is usually quick and can significantly alleviate any discomfort you are experiencing.
In addition to the height issue, the sensitivity you are feeling is also a common response after a filling, especially if the cavity was deep or close to the nerve. This sensitivity can last for a few days to a couple of weeks. However, if the sensitivity persists beyond this period or worsens, it may indicate that there is an underlying issue, such as pulpitis (inflammation of the dental pulp) or that the filling is not adequately sealing the cavity.
In summary, it is essential to have your filling checked and adjusted if you feel it is too high. Do not hesitate to contact your dentist to discuss your symptoms and schedule an appointment for an adjustment. Properly addressing these issues will help ensure your dental health and comfort in the long run. Remember, your oral health is paramount, and timely interventions can prevent more significant problems down the line.
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