Can Dental Fillings Affect Bite Height and Tooth Recovery?

Q: Can Dental Fillings Affect Bite Height and Tooth Recovery?

Hello： The occlusal height of a person is influenced by many factors, not just the shape or angle of the teeth. <br>Recently restored or adjusted occlusion requires time for adaptation. <br>However, if other natural teeth are injured, it is necessary to observe the pulp response

Dental restoration angle

Hello, a few days ago I experienced pain after a dental filling.
The dentist mentioned that the filling was too high, so they reduced the height of the filled tooth significantly, and it seems they also worked on other natural teeth.
Now, I feel that the height on one side is different from before, as if it has been worn down.
I would like to ask if the teeth that were adjusted have a chance to regain their original height? Will the other natural teeth that were worn down return to their original height and angle? Will there be any changes in my occlusion and chewing? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2021/02/06

Dr. Lin Jiayong reply Dentistry

Hello: The occlusal height of a person is influenced by many factors, not just the shape or angle of the teeth.
Recently restored or adjusted occlusion requires time for adaptation.
However, if other natural teeth are injured, it is necessary to observe the pulp response of the affected tooth to determine if further treatment is needed.
*I would like to ask if the restored tooth has a chance to regain its original height? Will the other worn natural teeth recover their original height and angle? The occlusal height typically adapts after about one month; once the teeth are worn down, they will not regrow.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare!

Reply Date: 2021/02/06

More Info

Dental fillings can indeed affect bite height and the overall recovery of teeth, particularly when adjustments are made after the filling procedure. When a dentist places a filling, the goal is to restore the tooth's structure and function. However, if the filling is too high, it can lead to an uneven bite, which may cause discomfort or pain. In your case, it seems that the filling was adjusted too much, resulting in a reduction of the tooth's height and possibly affecting adjacent teeth.

To address your specific questions:
1. Can the adjusted tooth recover its original height? Unfortunately, once a tooth has been ground down or adjusted, it does not grow back to its original height. Teeth are not like bones; they do not regenerate. If a significant amount of the tooth structure has been removed, the tooth will remain at that reduced height. The only way to restore the height would be through further dental procedures, such as crowns or additional fillings, depending on the extent of the loss.

2. Will other affected teeth recover their original height and angle? Similar to the first point, any teeth that have been ground down or adjusted will not naturally recover their original height or angle. The only recourse would be to consult with your dentist about possible restorative options. If the adjacent teeth have been affected, they may also require treatment to ensure proper alignment and function.

3. Will there be changes in bite and chewing? Yes, changes in bite height can lead to alterations in how you chew and bite. An uneven bite can cause discomfort, jaw pain, and even issues with the temporomandibular joint (TMJ). It may also lead to compensatory behaviors, where you unconsciously favor one side of your mouth over the other, which can lead to further dental issues over time.

In summary, once a tooth has been adjusted or ground down, it does not regenerate to its original state. If you are experiencing discomfort or significant changes in your bite, it is crucial to return to your dentist for a thorough evaluation. They may recommend adjustments to the filling or other restorative treatments to help restore your bite and alleviate any discomfort. Additionally, monitoring the health of the adjacent teeth is essential, as they may also require attention to ensure they are not adversely affected by the changes in your bite.
It's important to communicate openly with your dentist about your concerns and any symptoms you are experiencing. They can provide guidance tailored to your specific situation and help you achieve a comfortable and functional bite.

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