Is Your Dental Filling Missing a Piece? Common Issues - Dentistry

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When you notice a rough or uneven feeling on a dental filling, especially if it wasn't present immediately after the procedure, it can be concerning. There are several factors that could contribute to this sensation, and understanding them can help you determine the best course of action.

Firstly, it's important to recognize that dental fillings, including those made from silver amalgam, can experience wear over time. Natural wear and tear is a common occurrence, especially in areas of the mouth that endure significant chewing forces. If the filling is in a location that is frequently subjected to pressure, such as a molar, it may gradually become rough or lose its smooth surface. This is particularly true if you have a habit of grinding your teeth (bruxism) or if you apply excessive force while brushing.

However, if the roughness is new and has developed relatively quickly after the filling was placed, it may indicate a problem. One possibility is that the filling was not properly polished after placement. A well-placed filling should have a smooth surface that blends seamlessly with the natural tooth structure. If the dentist did not adequately finish the filling, it could lead to a rough texture that may irritate your tongue or gums.

Another potential issue could be the development of secondary decay around the filling. If there are gaps between the filling and the tooth structure, bacteria can infiltrate these spaces, leading to decay that can compromise the integrity of the filling. This could also create a rough sensation as the filling begins to break down or as the tooth structure around it deteriorates.

In some cases, the filling material itself may have inherent flaws. Silver amalgam, while durable, can sometimes develop cracks or become dislodged if not properly bonded to the tooth. If the filling is breaking down, it may require replacement.

To address your concerns, it is advisable to schedule a follow-up appointment with your dentist. They can assess the filling and determine whether it is simply a case of normal wear or if there is an underlying issue that needs to be addressed. If the filling is found to be compromised, your dentist may recommend either polishing the surface to restore smoothness or replacing the filling entirely if it has deteriorated significantly.

In the meantime, maintain good oral hygiene practices. Brush gently but thoroughly, and consider using a soft-bristled toothbrush to avoid further wear on the filling. Floss daily to keep the area clean and prevent any potential decay from developing around the edges of the filling.

In summary, while some roughness can be attributed to natural wear, it is essential to have any new or concerning changes evaluated by a dental professional. Regular dental check-ups are crucial for monitoring the condition of fillings and ensuring that any issues are addressed promptly to maintain your oral health.