The filling came out, and I put it back in myself?
After the root canal treatment on a molar, the permanent filling came loose after being caught by dental floss.
I managed to place it back in its original position, but now it is stuck and cannot be removed.
The dental office is closed during the Spring Festival, and I have an appointment for a crown in 7 days.
Should I go back to see the dentist earlier? What should I do during this time...?
Wan, 20~29 year old female. Ask Date: 2021/02/12
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to keep the cavity of the tooth clean and avoid probing or inserting any filling material.
The key points are to maintain cleanliness and avoid hard foods.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/02/12
More Info
Dealing with a dislodged dental filling can be a concerning situation, especially when it occurs in a tooth that has undergone root canal treatment. Here’s a comprehensive guide on what to do before your dental appointment, along with some insights into the situation you described.
Immediate Steps to Take
1. Do Not Panic: It’s important to remain calm. Dislodged fillings are common, and there are steps you can take to manage the situation until your dental appointment.
2. Avoid Using the Affected Tooth: Try to refrain from chewing or biting down on the tooth with the dislodged filling. This will help prevent further damage to the tooth or any discomfort.
3. Clean the Area: Gently rinse your mouth with warm salt water to help keep the area clean. This can reduce the risk of infection and soothe any irritation in the gums.
4. Temporary Filling: If the filling has completely come out and you have access to dental wax or temporary dental filling material (available at pharmacies), you can use it to cover the exposed area. This can provide some protection until your appointment.
5. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage the pain. Be sure to follow the recommended dosages.
6. Monitor for Symptoms: Keep an eye on any changes in your symptoms. If you notice increased pain, swelling, or signs of infection (such as pus or fever), it may be necessary to seek emergency dental care.
Should You See the Dentist Before Your Appointment?
Given that you have a scheduled appointment in seven days for a dental crown, it may not be necessary to rush back to the dentist unless you are experiencing significant pain or other concerning symptoms. However, if you feel uncomfortable or if the tooth is causing you distress, it’s always best to err on the side of caution and contact your dentist’s office. They may be able to provide advice over the phone or fit you in for an earlier appointment.
Understanding the Situation
The tooth in question has undergone root canal treatment, which means the nerve and pulp have been removed, and the tooth is now essentially "dead." This can make the tooth more brittle and susceptible to fractures or dislodged fillings. The filling serves to protect the tooth structure and maintain its integrity.
When a filling falls out, it can expose the underlying tooth structure to bacteria and food particles, increasing the risk of decay or infection. Therefore, it’s crucial to address the situation promptly, even if it’s just to ensure that the tooth remains protected until your crown appointment.
Preparing for Your Crown Appointment
When you do see your dentist for the crown, they will likely assess the tooth to determine if any additional treatment is needed before placing the crown. This may include:
- Cleaning the Tooth: Ensuring that the area is free from debris and bacteria.
- Re-evaluating the Filling: If the filling can be replaced, they may do so before placing the crown.
- Crown Preparation: Taking impressions and preparing the tooth for the crown placement.
Conclusion
In summary, while it’s important to manage the dislodged filling carefully, you may not need to rush back to the dentist unless symptoms worsen. Keeping the area clean, avoiding the use of the affected tooth, and monitoring your symptoms are key steps to take. If you have any doubts or concerns, don’t hesitate to reach out to your dental office for guidance. They can provide personalized advice based on your specific situation.
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