Is It Safe to Delay Dental Repair After Losing a Filling?

Is it okay if a large piece of a filling falls out and I can't get it replaced immediately?

Hello, doctor.
I am currently abroad and accidentally brushed off the filling from a previous dental restoration while brushing my teeth.
Now there is a visible large cavity, but it is completely painless at the moment.
However, if I rinse my mouth vigorously, I can feel a slight sensation in the cavity.
Since I will be returning to Taiwan in a few days and would prefer not to seek medical attention abroad, I would like to know if waiting two weeks to see a dentist after my quarantine in Taiwan will cause any significant issues.

Duo Xi, 20~29 year old female. Ask Date: 2020/12/31

Dr. Huang Tingfang reply Dentistry

Dear Ms.
D.E.A.R.
Doki,
Hello! It should be possible! A large cavity may be very close to the dental pulp (nerve), and consuming very hot or very cold water can cause sensitivity and pain.
Therefore, it is important to get it filled as soon as possible! In the meantime, try to drink warm water and avoid overly spicy, salty, cold, or hot foods.
Keep your teeth clean! Take care!
Sincerely,
Dr.
Huang Ting-Fang, Chief of Dentistry

Reply Date: 2020/12/31

More Info

When it comes to dental health, particularly after losing a filling, it is crucial to understand the potential risks associated with delaying treatment. In your case, you mentioned that you accidentally lost a filling while brushing your teeth, leaving a noticeable cavity that is currently not causing you significant pain. However, there are several important considerations to keep in mind regarding the safety of postponing dental repair.

Firstly, even if you are not experiencing pain, the exposed cavity can be susceptible to various issues. The most immediate concern is the risk of bacterial infection. The cavity provides an entry point for bacteria, which can lead to decay and potentially reach the dental pulp, resulting in pulpitis or even an abscess. This could escalate into severe pain and require more extensive treatment, such as a root canal, which is more complicated and costly than simply replacing a filling.

Secondly, the integrity of the tooth structure is compromised when a filling is lost. The tooth may become weaker and more prone to fractures or chips, especially if you consume hard or crunchy foods. Delaying treatment could increase the likelihood of needing more invasive procedures later on.

Moreover, you mentioned that you will be returning to Taiwan and undergoing a two-week quarantine. While it is understandable that you prefer not to seek dental care abroad, it is advisable to take preventive measures during this time. You should avoid very hot, cold, or sugary foods and drinks, as these can exacerbate sensitivity and increase the risk of further damage. Maintaining excellent oral hygiene is essential; brush gently around the affected area and consider using a fluoride toothpaste to help strengthen the remaining tooth structure.

In terms of timing, while it is generally better to address dental issues sooner rather than later, if you are careful and avoid aggravating the cavity, you may be able to wait until you return to Taiwan for treatment. However, it is crucial to monitor the situation closely. If you start to experience pain, swelling, or any other concerning symptoms, it would be wise to seek immediate dental care, even if it means going to a local dentist before your return.

In summary, while it may be possible to delay dental repair for a short period, it is not without risks. The potential for infection, further decay, and structural damage to the tooth increases with time. Therefore, if you can manage to see a dentist before your trip or if you notice any changes in your symptoms, it would be prudent to do so. Otherwise, ensure you take good care of your oral hygiene and avoid any actions that could worsen the condition of the tooth until you can receive proper treatment.

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