Pain and Potential Issues After Front Tooth Filling - Dentistry

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Anterior tooth gap filling


Hello, I had two cavities in my front teeth (in the middle between the back teeth) filled on March 13 (Saturday).
The dentist left space for flossing, and my bite feels normal.
I can use dental floss, but I have noticed that the gums between these two front teeth have been painful when I touch them with my tongue.
It doesn't hurt when I don't touch them.
My family looked at it and thinks it looks like there might be some kind of growth, like a polyp, on the gums between the two teeth.
Is this a normal occurrence? Should I schedule a follow-up appointment? Thank you!

J, 20~29 year old female. Ask Date: 2021/03/18

Dr. Lin Jiayong reply Dentistry


Hello: Based on what you mentioned, it is recommended that you return to your original clinic for the dentist to confirm whether this gingival hyperplasia is temporary or will persist for some time.
Additionally, you should consider whether you can accept the condition of the gingival hyperplasia before deciding whether to remove the recently placed material.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/03/18

More Info


After a dental filling, it's not uncommon to experience some discomfort or pain in the treated area. In your case, since you've recently had two cavities filled in your front teeth, the pain you're experiencing in the gums between those teeth could be attributed to several factors.

Firstly, it's important to understand that after a filling, the surrounding tissues, including the gums, may be sensitive as they adjust to the new material and the changes in the tooth structure. This sensitivity can manifest as pain when the area is touched, such as with your tongue. If the pain is only present when you touch the area and not during normal activities like eating or drinking, it may indicate that the gums are still healing or that there is some irritation present.

The appearance of what seems like a growth or "polyp" in the gum tissue could be a result of several things. One possibility is that the gums are inflamed due to the dental work, which can happen if the filling was placed very close to the gum line or if there was some trauma to the gum during the procedure. This inflammation can sometimes cause the gum tissue to swell, leading to the appearance of a bump or growth.
Another possibility is that the area is developing a condition known as a gingival hyperplasia, which is an overgrowth of gum tissue that can occur for various reasons, including irritation from dental work or poor oral hygiene. If the gums are not healing properly or if there is ongoing irritation, this could lead to discomfort and the appearance of abnormal tissue.

It's also worth considering that if the filling was not perfectly contoured or if there is a high spot on the filling, it could lead to improper bite alignment, which might cause discomfort in the gums. This is particularly relevant if you feel pain when biting down or if the filling feels "off" in any way.

Given these possibilities, it is advisable to return to your dentist for a follow-up appointment. They can perform a thorough examination to determine the exact cause of your discomfort. They may check for signs of infection, ensure that the filling is properly placed, and assess the health of the surrounding gum tissue. If there is indeed a growth or significant inflammation, your dentist will be able to provide appropriate treatment, which may include cleaning the area, adjusting the filling, or addressing any underlying issues.

In summary, while some discomfort after a filling can be normal, persistent pain, especially if accompanied by changes in the appearance of the gums, should be evaluated by a dental professional. Early intervention can help prevent more serious complications and ensure that your oral health remains in good standing. Always prioritize communication with your dentist regarding any concerns you have after a procedure, as they are best equipped to provide guidance tailored to your specific situation.

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