Common Dental Issues: Problems with Fillings and Flossing

Q: Common Dental Issues: Problems with Fillings and Flossing

Hello： 1. <br>There should be a gap between two normal teeth, and dental floss must be able to pass through it for proper cleaning. <br>2. <br>If any filling material has been removed, please have the dentist at Clinic B replace it, ensuring that the two teeth can be cleaned with

Dental filling/flossing issues?

Last month, I went to Clinic A for a routine check-up and teeth cleaning, where I discovered cavities between my second and third molars on the upper left side, which were filled.
However, after getting the filling, I found that I couldn't use dental floss between those teeth (despite pulling the floss back and forth with considerable force).
Yesterday, I visited Clinic B to have the issue with the tight contact point examined.
After taking an X-ray, the dentist observed that the filling material was connecting the two teeth, effectively blocking the space between them.
The dentist at Clinic B suggested completely removing the existing filling (and drilling more tooth structure) to redo the filling, but due to time constraints, I rescheduled for a later date.
I have several questions: 1.
Is this situation after a filling normal or abnormal? 2.
Is it necessary to redo the filling? 3.
Can the current situation be addressed (e.g., by removing the connecting filling material or cutting it)? 4.
Would you recommend returning to Clinic A for treatment? 5.
What are the potential negative consequences of leaving it untreated? I apologize for the numerous questions, and I appreciate your time in responding.
Thank you!

Ryan, 20~29 year old female. Ask Date: 2020/08/12

Dr. Lin Jiayong reply Dentistry

Hello: 1.
There should be a gap between two normal teeth, and dental floss must be able to pass through it for proper cleaning.
2.
If any filling material has been removed, please have the dentist at Clinic B replace it, ensuring that the two teeth can be cleaned with dental floss as it should be.
3.
It is not advisable to leave it as is, as exposing the interior of the tooth can easily lead to pulpitis.
Thank you.

Reply Date: 2020/08/12

More Info

When it comes to dental issues, particularly those related to fillings and flossing, it's crucial to understand the underlying problems and the best course of action. Based on your situation, let's address your questions one by one.

1. Is this situation after a filling normal or abnormal?
After a dental filling, it is not uncommon to experience some difficulty with flossing, especially if the filling is too high or if it has inadvertently created a tight contact point between the teeth. However, if the filling material is connecting the two teeth and preventing the floss from passing through, this is not typical. Properly placed fillings should allow for normal flossing without obstruction. The fact that you are unable to floss suggests that the filling may not have been placed correctly or that it has expanded or shifted in a way that is causing this issue.

2. Is it necessary to redo the filling?
Given that the filling is blocking the space between your teeth, it is advisable to have it redone. If the filling is too large or improperly shaped, it can lead to further dental issues, such as increased risk of cavities in the adjacent teeth, gum irritation, or even pain. A dentist will need to assess the situation and determine if the filling needs to be completely removed and replaced with a better-fitting material.

3. Can the current situation be managed without redoing the filling?
While it might be tempting to simply remove the connecting filling material or cut it, this is not recommended without professional guidance. Attempting to modify the filling yourself could lead to further complications, such as damaging the tooth structure or causing pain. It’s best to wait for your next appointment and allow the dentist to handle the situation properly.

4. Should you return to the original dentist for treatment?
If you feel comfortable with the original dentist and believe they can address the issue effectively, it may be worth returning to them. However, if you have concerns about the quality of the work or the way your issue was handled, seeking a second opinion, as you have done with the second clinic, is a wise choice. Ultimately, you want to ensure that you receive the best care possible.

5. What are the potential negative effects of leaving this untreated?
Ignoring the issue could lead to several complications. First, the inability to floss properly can result in plaque buildup and increased risk of cavities in the adjacent teeth. Additionally, if food particles become trapped between the teeth, it can lead to gum disease or inflammation, which may cause pain and further dental issues. Over time, untreated problems can escalate, leading to more extensive and costly treatments.

In summary, while it may be inconvenient to have to redo the filling, it is essential for maintaining your overall dental health. Proper flossing is crucial for preventing cavities and gum disease, and any obstruction in that process should be addressed promptly. Make sure to communicate openly with your dentist about your concerns and follow their recommendations for treatment. Regular dental check-ups and cleanings are vital for maintaining oral health, so continue to prioritize these visits.

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