Tooth Sensitivity After Filling: When to Seek Dental Care - Dentistry

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Pain in adjacent teeth after dental filling?


Hello Doctor, a few days ago I had a filling done on my front tooth, but now I feel a slight pain when I bite down on the tooth to the left of it.
Should I schedule a follow-up appointment or continue to monitor it? Thank you, Doctor.

Chen, 10~19 year old female. Ask Date: 2021/08/08

Dr. Qiu Qiongyao reply Dentistry


Chen: Hello, I recommend returning to the outpatient clinic to adjust the occlusal height or to check if the filling has become loose.
Additionally, please have a thorough examination to determine if the pain is caused by nerve damage.
If the cavity is too deep and has affected the nerve, there may be pain after the filling.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2021/08/08

More Info


Tooth sensitivity after a dental filling is a common concern and can arise for several reasons. It’s important to understand the nature of your symptoms and when it might be necessary to seek further dental care.

In your case, experiencing pain when biting down on the left side of your recently filled front tooth could indicate a few possibilities. First, it’s not uncommon for teeth to feel sensitive after a filling, especially if the cavity was deep. The process of drilling out decay and placing a filling can sometimes irritate the nerve inside the tooth, leading to temporary sensitivity. This sensitivity can manifest as pain when biting or when exposed to hot or cold temperatures.

However, if the pain persists beyond a few days or worsens, it may indicate that there is an underlying issue that needs to be addressed. Here are some potential reasons for your discomfort:
1. High Filling: If the filling is slightly too high, it can cause discomfort when biting down. This is because the tooth may not be able to come together properly with the opposing tooth, leading to undue pressure on the filled tooth.

2. Nerve Irritation: As mentioned, the dental procedure can irritate the nerve. If the sensitivity is mild and gradually improving, it may just be a normal part of the healing process. However, if the pain is sharp or severe, it could indicate that the nerve is inflamed or that there is a risk of pulpitis (inflammation of the dental pulp).

3. Cracked Tooth: Sometimes, a tooth can develop a crack that may not be immediately visible. This can lead to pain when biting down, especially if the crack extends into the nerve.

4. Infection: If there was a significant amount of decay, there is a possibility that bacteria could have reached the pulp, leading to an infection. This would require more immediate attention.

Given these possibilities, here are some guidelines on when to seek dental care:
- Immediate Return: If you experience severe pain, swelling, or any signs of infection (such as fever or pus), you should return to your dentist as soon as possible.

- Persistent Sensitivity: If the sensitivity lasts more than a week or worsens over time, it’s advisable to schedule a follow-up appointment.
- Pain When Biting: If you notice that the pain is significant enough to affect your ability to eat or perform daily activities, this is another sign that you should seek dental care.

- Changes in Symptoms: If you notice any new symptoms, such as increased sensitivity to hot or cold, or if the pain radiates to other areas, it’s important to consult your dentist.

In conclusion, while some sensitivity after a filling can be normal, it’s crucial to monitor your symptoms closely. If you find that the discomfort persists or worsens, don’t hesitate to reach out to your dentist for an evaluation. They can assess the filling and your tooth to determine if any adjustments or further treatment are necessary. Your oral health is important, and addressing any concerns early can help prevent more serious issues down the line.

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