Dealing with Dental Fillings: Seeking Solutions for Tooth Gaps - Dentistry

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The dental filling was done to the extent that there are no gaps between the teeth?


I was eating in Penghu when a piece of my tooth broke off.
I went to Clinic A and discovered it was a cavity.
After cleaning, they filled it with silver amalgam.
I brushed my teeth at home and used dental floss, but the next day when I ate hash browns, it came off again.
Since Clinic A was closed that night, I went to Clinic B, which used resin but ended up sealing my tooth gap.
I felt very uncomfortable without the gap and asked if they could adjust it, but the dentist at Clinic B said it wasn't possible because my cavity was too large and would fall out.
However, I had a similar situation with my right tooth where they didn't leave a gap, and it ended up breaking down and dying within half a month, forcing me to get a ceramic crown.
I don't want it to progress that quickly.
Can I consult other clinics to see if they can create a gap for me? I'm really uncomfortable, experiencing soreness, and there's a bit of bleeding when I brush my teeth.

Yixuan, 20~29 year old female. Ask Date: 2022/04/22

Dr. Zeng Guanghui reply Dentistry


If the cavity is extensive and close to the interproximal area, it is not advisable to use silver amalgam or composite resin for filling.
In such cases, it is challenging to achieve a secure restoration while preserving the contact point between teeth, which may lead to the filling becoming dislodged easily.
It is recommended that if a secure filling cannot be achieved, one should consider root canal treatment followed by a crown for protection.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/04/22

More Info


Dealing with dental fillings and the subsequent issues of tooth gaps can be quite frustrating, especially when previous treatments have not yielded satisfactory results. It sounds like you have been through a challenging experience with your dental care, and I understand your concerns about the integrity of your teeth and the discomfort you are experiencing.

When a tooth has a cavity, the standard procedure is to remove the decayed portion and fill it with a material such as amalgam (silver filling) or composite resin (tooth-colored filling). However, if the cavity is extensive, as in your case, the filling may not adhere properly, leading to further complications. It’s important to note that if a filling falls out or if there is a significant gap between the teeth, it can lead to food trapping, which may cause gum irritation, inflammation, or even secondary cavities.

In your situation, it seems that the filling from the first clinic (A) did not hold, and the second clinic (B) used a resin that inadvertently sealed your tooth gap, causing discomfort. The fact that you are experiencing pain and slight bleeding while brushing indicates that there may be an underlying issue, such as gum inflammation or an improper fit of the filling.

Here are some steps you can consider moving forward:
1. Seek a Second Opinion: It is entirely reasonable to consult another dental clinic for a second opinion. Different dentists may have varying approaches to treatment, and another professional might be able to provide a solution that addresses your concerns about the gap and discomfort.

2. Discuss Your Options: When you visit a new dentist, be sure to explain your previous treatments and the issues you are facing. Ask about the possibility of creating a gap between the teeth while ensuring the filling remains secure. It’s crucial to have a filling that is both functional and comfortable.

3. Consider Alternative Treatments: If the cavity is too large for a simple filling, your dentist might suggest other options, such as an inlay, onlay, or crown. These treatments can provide better support and protection for the tooth, especially if the structure is compromised.

4. Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing twice a day and using dental floss. If you notice persistent bleeding or discomfort, inform your dentist, as this could indicate gum disease or an issue with the filling.

5. Monitor Your Symptoms: Keep track of any changes in your symptoms. If the pain worsens or if you notice swelling, it’s essential to seek immediate dental care, as these could be signs of an infection or other serious issues.

6. Discuss Long-Term Solutions: If you have a history of dental issues, it may be worth discussing preventive measures with your dentist, such as fluoride treatments or sealants, to protect your teeth from future decay.

In conclusion, while it can be disheartening to deal with dental issues, seeking a second opinion and discussing your concerns openly with a new dentist can lead to a more satisfactory resolution. Remember, your comfort and oral health are paramount, and there are various options available to address your situation effectively.

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