Tooth Sensitivity During Dental Filling Wait Times

During the waiting period for dental filling, the tooth has started to feel sensitive again?

I would like to ask the doctor: 1.
How long is it generally recommended for patients to complete the filling after the removal of a cavity? 2.
Is it normal to experience sensitivity or discomfort between the removal of the cavity and the placement of the filling?
To explain the situation: Last Monday, I experienced intermittent sensitivity in my molar and sought medical attention.
The doctor determined it was a cavity after a visual examination and X-rays of the entire mouth and individual teeth.
Since the decay extended slightly into the dentin and there was insufficient tooth structure remaining, a filling was necessary.
The doctor temporarily filled the tooth along with the adjacent tooth.

Last Tuesday: Although I did not feel any abnormalities in the tooth itself, the swelling of the gums made it difficult for me to determine if the tooth was painful.
Last Thursday: I was originally scheduled for the filling, but I was concerned that if I proceeded, I might discover that the decay had reached the nerve.
Therefore, I asked the doctor if I could wait until the following Saturday to return for the filling.

This Monday: I started to feel sensitivity in the tooth, which made me wonder if waiting a few extra days caused the cavity to progress to the nerve.

Lu, 20~29 year old female. Ask Date: 2020/09/14

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Lu,
Hello! In fact, cavities can be cleaned out directly and filled right away.
If the cavity is too deep and close to the nerve, calcium hydroxide can be used as a temporary cover, and you can wait a month before filling it.
However, if the nerve has already been affected, a root canal treatment will still be necessary.
Take care! Wishing you peace and smoothness in everything!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/09/14

More Info

Tooth sensitivity and pain during the waiting period for dental fillings can be a common concern for many patients. Let's address your questions systematically.

1. Recommended Time Frame for Filling After Cavity Removal:
Generally, it is advisable to complete the filling procedure within a week after the removal of decay. This is because the exposed dentin (the layer beneath the enamel) can become sensitive and prone to further decay if left unprotected for too long. The longer the tooth is left without a filling, the greater the risk of bacteria entering the tooth and potentially reaching the pulp, which can lead to more severe complications such as pulpitis or even the need for root canal therapy.

2. Normalcy of Sensitivity After Cavity Removal:
Experiencing sensitivity or pain after the removal of decay is not uncommon. When a dentist removes decay, they often expose the dentin, which contains tiny tubules leading to the nerve endings. This exposure can lead to sensitivity to temperature changes, pressure, or even air. The sensitivity can be exacerbated by the presence of inflammation in the surrounding gum tissue, which may occur after dental procedures.
In your case, it seems that the timeline of events aligns with typical experiences. After the removal of the cavity, the sensitivity you felt could be attributed to the exposure of the dentin and the inflammation of the gums. The fact that you were concerned about the potential for the decay to reach the nerve is valid, as deep cavities can indeed progress if not treated promptly.

It's also important to note that if the sensitivity worsens or becomes more persistent, it could indicate that the decay has progressed further than initially assessed. In such cases, it is crucial to follow up with your dentist for a thorough examination, which may include X-rays to check the extent of the decay.

Additional Considerations:
- Temporary Fillings: If a temporary filling was placed, it is designed to protect the tooth until a permanent filling can be applied. However, temporary fillings can sometimes wear down or become dislodged, leading to increased sensitivity or pain.

- Pain Management: Over-the-counter pain relievers can help manage discomfort during this waiting period. Additionally, using toothpaste designed for sensitive teeth may provide some relief.

- Follow-Up Care: If you notice any changes in the sensitivity or if the pain becomes severe, it is advisable to contact your dentist sooner rather than later. They may need to reassess the tooth and determine if further intervention is necessary.

In summary, while some sensitivity after cavity removal is normal, it is essential to monitor the situation closely. If you have concerns about the progression of decay or the level of pain you are experiencing, do not hesitate to reach out to your dental care provider for further evaluation and guidance. Your oral health is paramount, and timely intervention can prevent more serious complications down the line.

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