Should You Rush to the Dentist for Swollen Gums After Tooth Filling?

Gum tissue growing around a dental filling?

A week ago, I had issues with my wisdom tooth affecting the second molar, which had decayed to the point that I need crown lengthening surgery.
I initially visited the clinic, and the dentist did a temporary filling for me.
We scheduled the next appointment to start the full treatment.
However, in the past few days, I've noticed that the gums behind the decayed tooth (where the wisdom tooth has been extracted) feel swollen.
I just looked in the mirror and saw that new gum tissue is growing in the area of the wisdom tooth, slightly pressing against the filling the dentist placed.
Should I return to the clinic promptly? Currently, there is no pain, just a feeling of swelling, similar to the sensation of new tissue growing.
Since my next appointment is still 2-3 weeks away, I would like to know if I should be concerned.

Feng, 20~29 year old female. Ask Date: 2022/03/15

Dr. Zeng Guanghui reply Dentistry

If wisdom teeth are extracted and there is a desire to temporarily fill a cavity in the molar in front, the gum and jawbone will gradually heal and grow back during the recovery process.
If you feel that the gum is pressing against the filling in the front molar, you should return to your dentist for an adjustment of the filling.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/03/15

More Info

It sounds like you're experiencing some discomfort and swelling in the gums around the area where your wisdom tooth was extracted and where you recently had a filling. While it’s understandable to feel concerned, especially after dental procedures, there are several factors to consider before deciding whether to rush back to the dentist.

First, it’s important to understand that some swelling in the gums can be a normal part of the healing process after a tooth extraction. When a tooth is removed, the surrounding tissues can become inflamed as they heal, and this may lead to a feeling of pressure or swelling. However, if the swelling is significant or accompanied by other symptoms such as pain, bleeding, or pus, it could indicate an infection or other complications that would require immediate attention.

Since you mentioned that you are not currently experiencing pain, this is a positive sign. However, the fact that you see new gum tissue growing and it feels like it’s pressing against the filling could be a reason to consult your dentist sooner rather than later. The new tissue may be a sign of healing, but if it is interfering with the filling or causing discomfort, it might need to be evaluated.
In general, after dental procedures, it is advisable to keep an eye on the area for any changes. If you notice that the swelling increases, or if you start to experience pain, it would be wise to contact your dentist. They can provide guidance on whether you should come in for an earlier appointment or if it’s safe to wait until your scheduled visit.

Additionally, since you have a history of dental work in that area, it’s crucial to ensure that the filling remains intact and that there are no underlying issues such as recurrent decay or gum disease. If the swelling persists or worsens, it could potentially lead to complications that might require more extensive treatment.

In summary, while some swelling can be normal after dental work, you should monitor the situation closely. If the swelling does not subside or if you experience any new symptoms, it would be prudent to reach out to your dentist for advice. They can assess whether your situation requires immediate attention or if it can wait until your next scheduled appointment. Always prioritize your oral health and don’t hesitate to seek professional advice when in doubt.

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