Dental Fillings and Post-Procedure Concerns

Q: Dental Fillings and Post-Procedure Concerns

Hello： It is recommended to inform the dentist beforehand that you do not want to remove too much tooth structure, as this can help avoid future disputes and concerns. <br>You may also ask the dentist to consider other more conservative approaches, such as fluoride application or

Dental fillings and issues after tooth grinding by the dentist?

Thank you for your response, doctor! I am the person who asked about "the filling behind my front tooth falling out." I have scheduled a follow-up appointment at the hospital for next week, but I would like to ask for different doctors' opinions.

(1) Assuming there are traces behind the front tooth (uncertain if they are cracks or bite marks, present both front and back), if there is not much difference between filling and not filling the back of the front tooth, would it be better to choose not to fill it? (I don't want the crown of my front tooth to become shorter over time.)
(2) After my dentist flattened the top of my front tooth, I now feel pain in that particular tooth.
One of my front teeth is not flat; it has a tiny corner missing, but since it doesn't significantly affect aesthetics, I have left it alone, thinking it would be fine.
(The length difference with another tooth is very small.) However, a couple of days ago, I visited the dentist, and the doctor flattened it.
Now, I feel pain in that front tooth and am hesitant to bite down on anything.
Is this discomfort due to the flattening of the tooth and my adjustment to it, or did the dentist perhaps overdo it? (Also, will this flattening cause a greater length difference with the other front tooth...?) I haven't yet discussed this issue with the dentist who treated me.

Lin, 20~29 year old female. Ask Date: 2022/09/01

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to inform the dentist beforehand that you do not want to remove too much tooth structure, as this can help avoid future disputes and concerns.
You may also ask the dentist to consider other more conservative approaches, such as fluoride application or desensitizing agents.

Reply Date: 2022/09/01

More Info

Thank you for your detailed inquiry regarding your dental concerns. It’s great that you are actively seeking information and clarification about your dental health. Let’s address your questions one by one.

1. Regarding the decision to fill or not fill the back of your front tooth: If there are marks on the back of your front tooth that could be either cracks or bite marks, it’s essential to assess the potential risks of leaving it untreated. If the marks do not compromise the structural integrity of the tooth and do not cause any pain or sensitivity, you might consider not filling it. However, it’s crucial to consult with your dentist about the specific condition of the tooth. If there is a risk of further damage or decay, filling it may be the better option to prevent future complications. Remember, the goal is to maintain the tooth's health and function while minimizing any unnecessary alterations that could lead to a shorter crown.

2. Concerning the pain after your dentist filed down the top of your front tooth: It’s not uncommon to experience sensitivity or discomfort after a dental procedure, especially if the tooth was altered in any way. When a tooth is filed down, it can expose the dentin, which is more sensitive than the enamel. This sensitivity can manifest as pain when biting or when exposed to temperature changes. It’s possible that the adjustment made by your dentist was necessary to ensure proper alignment and function, but if you feel that the filing was excessive or if the pain persists, it’s essential to communicate this to your dentist. They can evaluate whether the adjustment was appropriate or if further action is needed.

Additionally, if the filing has caused a noticeable difference in the length of your teeth, it may affect your bite and overall dental aesthetics. If you are concerned about the appearance of your teeth or the discomfort you are experiencing, it’s important to bring this up with your dentist during your next visit. They can provide options for addressing any issues, such as further adjustments or cosmetic treatments.

In summary, while it may seem tempting to avoid additional dental work, it’s crucial to prioritize the health and integrity of your teeth. Regular check-ups and open communication with your dentist can help ensure that any issues are addressed promptly and effectively. If you have any lingering concerns or if the pain continues, don’t hesitate to seek a second opinion or further evaluation from another dental professional. Your comfort and dental health are paramount, and it’s essential to find a treatment plan that works best for you.

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