Temporary Dental Fillings: When to Seek Permanent Solutions - Dentistry

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The dental filling was only a temporary restoration?


Hello Doctor: Recently, I planned to visit the dentist to fill three cavities.
One is on the upper left canine, which is the only tooth that has been filled with composite resin.
The other two are located behind the upper front teeth and in between the upper left first and second premolars.
The cavity in the canine is more noticeable and affects my appearance, while the cavity behind the front teeth was filled a few years ago but fell out shortly after.
The premolar is the most sensitive, but it only hurts when stimulated; otherwise, it doesn't cause pain.

During my first visit, the dentist placed white temporary fillings in all three cavities and advised me not to eat for two hours.
On my second visit, the dentist removed the temporary filling from the canine and replaced it with a permanent filling.
On my third visit, I had my teeth cleaned, and the temporary filling behind the front teeth was replaced with a new temporary filling.
It feels less full than the first time, and I can still feel the indentation, but I checked with a mirror and confirmed that it hasn't completely come off; I can still see some white material.
After replacing the temporary filling on my third visit, the dentist informed me that I didn't need to return for a follow-up appointment for now, as the temporary filling is also a type of filling.
If the temporary filling falls out or if it's been six months, I can return for a check-up.
However, I noticed that the temporary filling behind the front teeth showed signs of coming loose when I used dental floss (the dentist had replaced it), and since the two unfilled cavities are located between two teeth, I'm hesitant to use dental floss again but can't avoid it, which is quite concerning.
I would like to ask whether I should follow the dentist's advice and wait for the temporary filling to fall out before returning for a check-up, or should I seek another clinic for a permanent filling? Thank you in advance for your response, and I wish you a Happy New Year.
Thank you for your hard work! ♥

Alice, 10~19 year old female. Ask Date: 2023/01/17

Dr. Zeng Guanghui reply Dentistry


Hello Ms.
Alice: If the back teeth have deeper cavities, a temporary filling is usually used to fill the cavity temporarily.
After observing for a period of time without any sensitivity or pain, a permanent filling can then be placed.
The temporary filling material is generally a white substance, and if it is placed in the interproximal area, it may be more prone to dislodging.
It is recommended that if you have difficulty using dental floss with the temporary filling or if it easily comes loose, you should return to the dentist for further management.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/01/17

More Info


When it comes to temporary dental fillings, understanding when to seek permanent solutions is crucial for maintaining oral health. Temporary fillings are often used as a short-term measure to protect a tooth that has been treated for decay or damage while waiting for a more permanent restoration. They serve several purposes, including protecting the tooth from further decay, alleviating pain, and maintaining the tooth's structure until a permanent filling or crown can be placed.

In your case, it sounds like you have multiple areas that require attention, including a canine tooth and two incisors, with temporary fillings currently in place. Here are some key points to consider regarding your situation:
1. Duration of Temporary Fillings: Temporary fillings are not designed to last indefinitely. They can wear down, crack, or fall out over time, especially if they are subjected to significant chewing forces or if they are not properly sealed. If you notice that your temporary filling feels less secure or has visible wear, it is advisable to seek a dental appointment sooner rather than later.

2. Signs to Seek Permanent Solutions: You should consider seeking a permanent solution if:
- The temporary filling has fallen out or is loose.

- You experience increased sensitivity or pain in the affected tooth.

- You notice any signs of infection, such as swelling or pus.

- The temporary filling has been in place for an extended period (typically more than a few weeks).

3. Impact of Delaying Treatment: Delaying the placement of a permanent filling can lead to further complications. The exposed tooth structure may be more susceptible to decay, and the risk of infection increases. Additionally, if the temporary filling is not providing adequate protection, the tooth may become more damaged, potentially requiring more extensive treatment in the future.

4. Using Dental Floss: It’s understandable to be cautious about using dental floss around temporary fillings, especially if you’ve noticed signs of wear or loosening. However, maintaining good oral hygiene is essential. You can gently use dental floss, being careful not to dislodge the temporary filling. If you feel uncomfortable, consider using an interdental brush or a soft pick designed for cleaning between teeth without risking damage to the filling.

5. Consulting Another Dentist: If you are feeling uncertain about the condition of your temporary fillings or if you are experiencing discomfort, it may be worthwhile to seek a second opinion from another dental professional. They can assess the situation and provide guidance on whether immediate treatment is necessary or if you can wait until the temporary fillings are due for replacement.

6. Long-Term Care: Once you do receive permanent fillings, it’s important to follow up with your dentist for regular check-ups. This will help ensure that the fillings are functioning properly and that your overall dental health is maintained.

In summary, while temporary fillings are a useful short-term solution, they are not a substitute for permanent restorations. If you have concerns about the integrity of your temporary fillings or if you are experiencing any discomfort, it is advisable to consult with a dental professional sooner rather than later. Taking proactive steps can help prevent further complications and ensure that your dental health remains in good standing.

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