Common Dental Filling Questions: When to Repair and What to Watch For

Q: Common Dental Filling Questions: When to Repair and What to Watch For

Hello： 1. <br>If there is no impact on aesthetics or function, and both doctors have advised against active intervention, it is recommended to simply monitor the situation. <br>2. <br>If X-rays have been taken and confirmed to be normal, and you do not subjectively experience any

Questions about dental fillings?

Hello, Doctor.
I have a few questions to ask:
1.
I have a resin filling on the occlusal surface that has developed small wear holes over the years.
The orthodontist believes it can be filled or just the small holes can be filled directly; however, the general dentist thinks that since there are no cavities around and the wear is not deep, filling it directly may lead to it falling out easily, and suggests not to treat it.
Will this have any impact?
2.
Recently, while checking in the mirror, I discovered another small hole on the occlusal surface with a slight black discoloration inside (which is not obvious when saliva is present), resembling the discoloration at the edge of a filling.
During annual X-rays at the hospital, it has always been indicated that there are no cavities, and last year during a dental cleaning at the clinic, the dentist also mentioned that some dark areas are not a concern.
If I had not brought up this specific area with the dentist, is it possible that it went unnoticed during the examination, leading to potential issues? I have not paid much attention to my teeth in the past, but now I want to take good care of them.
While I can identify problems, I lack professional knowledge, and it has been inconvenient to seek dental care during the pandemic.
I would appreciate your guidance.
Thank you.

Mr. Hsu, 20~29 year old female. Ask Date: 2022/01/01

Dr. Lin Jiayong reply Dentistry

Hello: 1.
If there is no impact on aesthetics or function, and both doctors have advised against active intervention, it is recommended to simply monitor the situation.
2.
If X-rays have been taken and confirmed to be normal, and you do not subjectively experience any swelling, pain, or discomfort, it is advisable to continue monitoring.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/01/01

More Info

When it comes to dental fillings and the care of your teeth, it's essential to understand the nuances of dental health, especially regarding when to repair fillings and what signs to watch for. Here are some insights based on your questions:
1. Regarding the small wear holes on your resin fillings: The opinions of your orthodontist and general dentist reflect a common dilemma in dental care. If the wear is superficial and not causing any pain or sensitivity, it may not require immediate attention. However, if the wear continues, it could lead to more significant issues down the line, such as deeper decay or structural damage to the tooth. Regular monitoring is crucial. If you notice any changes, such as increased sensitivity or pain, it would be wise to revisit your dentist for a more thorough evaluation.
2. Concerning the black spot you discovered on another tooth: The presence of a black spot can be concerning, especially if it resembles decay or a failing filling. While your previous X-rays and dental cleanings indicated no cavities, it's important to remember that not all issues are visible on X-rays, especially if they are in the early stages. The discoloration could be due to staining, but it could also indicate that the filling is breaking down or that there is decay beneath it. If you have concerns about this area, it’s advisable to bring it up with your dentist during your next visit. They may recommend further diagnostic imaging or a clinical examination to determine the best course of action.

3. General dental care and maintenance: Since you mentioned a desire to protect your teeth better, here are some tips to consider:
- Regular Check-ups: Schedule dental check-ups at least twice a year. This allows your dentist to monitor your dental health and catch any potential issues early.

- Good Oral Hygiene: Maintain a rigorous oral hygiene routine, including brushing twice a day with fluoride toothpaste and flossing daily. This helps prevent plaque buildup, which can lead to cavities and gum disease.

- Dietary Considerations: Be mindful of your diet. Limit sugary snacks and drinks, as they can contribute to tooth decay. Instead, focus on a balanced diet rich in fruits, vegetables, whole grains, and dairy products.

- Fluoride Treatments: Ask your dentist about fluoride treatments, which can help strengthen your enamel and protect against decay.

- Sealants: Consider dental sealants for your molars, which can provide an additional layer of protection against cavities.

4. Understanding the importance of addressing dental issues promptly: Ignoring small problems can lead to larger, more complex issues that may require more invasive treatments, such as root canals or extractions. If you notice any changes in your teeth or fillings, such as pain, sensitivity, or visible changes, it’s crucial to seek professional advice sooner rather than later.

In summary, while some wear on fillings may not require immediate action, it’s essential to stay vigilant about your dental health. Regular dental visits, good oral hygiene practices, and open communication with your dentist about any concerns will help you maintain a healthy smile for years to come. If you have further questions or concerns, don’t hesitate to reach out to your dental care provider for personalized advice.

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