Does an Uneven Filling Affect Adjacent Teeth and Gums? - Dentistry

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Will a dental filling with a protrusion affect the opposing teeth?


Hello, I would like to ask a follow-up question regarding the issue I experienced.
The day before I had my wisdom teeth extracted, I had a dental filling done at another clinic on my upper right second molar.
After the filling, I felt some soreness and discomfort as if there was a foreign object.
The next day, I had my upper and lower right wisdom teeth extracted.
About 3-4 days later, I developed swelling and inflammation on the outer side of my lower right second molar.
I later noticed that the filling was uneven with a protruding corner, which is located right above the inflamed area of the tooth.

Could the uneven and protruding filling affect the adjacent tooth and gum? Is it possible to remove the filling and redo it? Thank you.
🙏🏻

Lu, 20~29 year old female. Ask Date: 2022/08/08

Dr. Lin Jiayong reply Dentistry


Hello: It is indeed possible.
I recommend that during your follow-up visit for suture removal, you ask the dentist to check the condition of the filling.
If it needs to be redone, please have the dentist assist with the re-filling!

Reply Date: 2022/08/08

More Info


When it comes to dental fillings, particularly in the case of an uneven or improperly contoured filling, there are several potential implications for both adjacent teeth and the gums. An uneven filling can lead to a variety of issues, including discomfort, misalignment of the bite, and increased risk of decay or gum disease.

Firstly, if a filling is uneven or has sharp edges, it can create pressure points when biting down. This can lead to discomfort not only in the filled tooth but also in adjacent teeth as they may be subjected to abnormal forces during chewing. Over time, this can result in wear or damage to neighboring teeth, as they may not be able to withstand the additional stress. Furthermore, if the filling is too high, it can cause the opposing tooth to hit it harder than it should, potentially leading to further complications such as tooth sensitivity or even fractures.

In terms of gum health, an uneven filling can also create areas that are difficult to clean properly. If the filling is not smooth and flush with the tooth surface, food particles and plaque can accumulate in the gaps, leading to inflammation of the gums (gingivitis) or even periodontal disease if left untreated. This is particularly concerning if the filling is located near the gum line, as it can exacerbate gum recession and lead to further complications.

Regarding your specific situation, where you experienced inflammation and discomfort following the placement of a filling, it is essential to address the unevenness of the filling. If the filling is indeed protruding or has sharp edges, it can contribute to the inflammation you are experiencing in the adjacent tooth and gum tissue. The fact that you noticed discomfort and swelling in the area suggests that the filling may be affecting your bite and causing irritation.

In terms of remediation, it is advisable to consult with your dentist about the possibility of removing and redoing the filling. A dentist can assess the situation and determine if the filling can be adjusted or if it needs to be completely replaced. If the filling is causing significant discomfort or is contributing to gum inflammation, it is in your best interest to have it addressed promptly to prevent further complications.

In conclusion, an uneven filling can indeed affect adjacent teeth and gums. It can lead to discomfort, misalignment, and increased risk of decay or gum disease. If you are experiencing issues related to a filling, it is crucial to communicate these concerns with your dentist, who can provide the necessary adjustments or treatments to ensure your dental health is maintained. Regular dental check-ups and cleanings are also essential to monitor the condition of your fillings and overall oral health.

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