How Long Should You Wait to Return to the Dentist After Filling? - Dentistry

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Follow-up appointment after dental filling?


After getting a dental filling (at 7 PM), I started experiencing spontaneous pain around 10 PM.
I have read that pain after a filling is quite common.
How long should this pain last before I need to return for a follow-up? Thank you.

Xinxin, 20~29 year old female. Ask Date: 2020/09/11

Dr. Zeng Guanghui reply Dentistry


Hello, Xinxin: If you have a deeper cavity that has been filled, it is possible to experience temporary sensitivity or discomfort afterward, but this should gradually improve.
If you continue to feel pain for several days, it is advisable to return for an examination to check for possible inflammation of the dental nerve.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/09/11

More Info


After a dental filling, it is not uncommon to experience some discomfort or pain, especially within the first few hours or days. This is typically due to the trauma of the procedure itself, the materials used, or the adjustment of your bite. Generally, mild discomfort can last for a few hours to a couple of days. However, if the pain persists or worsens, it may indicate an underlying issue that requires further evaluation.

In your case, since you mentioned that the filling was done around 7 PM and you began to experience spontaneous pain by 10 PM, this could be a normal reaction to the procedure. It is important to monitor the pain. If it remains mild and manageable with over-the-counter pain relievers, you may not need to return to the dentist immediately. However, if the pain intensifies, lasts more than a few days, or is accompanied by other symptoms such as swelling, fever, or difficulty chewing, it would be advisable to contact your dentist for a follow-up appointment.

Pain after a dental filling can be attributed to several factors:
1. Post-operative Sensitivity: After a filling, especially if it was deep, the tooth may be sensitive to temperature changes or pressure. This sensitivity usually subsides within a few days.

2. Bite Adjustment: Sometimes, the filling may be slightly high, causing discomfort when biting down. If you notice that your bite feels off or if the pain is sharp when biting, you should return to your dentist for an adjustment.

3. Pulpitis: If the filling was deep and close to the nerve, it could lead to inflammation of the dental pulp (pulpitis), which may cause prolonged pain. This condition may require further treatment, such as a root canal.

4. Infection: In rare cases, if bacteria enter the tooth during the filling process, it could lead to an infection, resulting in persistent pain. Signs of infection include swelling, pus, or fever.

5. Material Reaction: Some individuals may have sensitivities or allergic reactions to the materials used in dental fillings, which can cause discomfort.

In summary, while some pain after a dental filling is normal, it is crucial to pay attention to the intensity and duration of the discomfort. If the pain persists beyond a few days or worsens, it is best to consult your dentist. They can assess the situation, check for any complications, and provide appropriate treatment to ensure your dental health is maintained. Always feel free to reach out to your dental care provider with any concerns, as they can provide personalized advice based on your specific situation.

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