Sudden Tooth Pain After Filling: Causes and Solutions - Dentistry

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The filled tooth suddenly hurts for one or two days?


I apologize for the inconvenience.
A few years ago, I had a cavity filled on the back of a tooth next to my front tooth.
The dentist mentioned that that tooth was thinner and very close to the nerve.
After the filling, I experienced some discomfort and pain due to changes in the internal pressure of the tooth, but the dentist said it would improve over time, which it did after a while.
However, recently I have suddenly experienced pain for two days.
I do not have sensitivity to hot or cold water, but I am very sensitive when biting down.
I noticed swelling above the gum line, and the area above the gums feels the most painful and persistent, although it has improved significantly now.
Additionally, I have had a fever these past few days due to the toothache, and with the New Year approaching, I haven't had the opportunity to see a dentist.
I hope to get some answers here.
Thank you, doctor!

Wang, 20~29 year old female. Ask Date: 2023/01/19

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return to the original clinic.
If there are previous X-rays for comparison, it can be determined whether the decay has indeed reached the dental pulp.
If it has reached the pulp, it is advisable to proceed with root canal treatment.

Reply Date: 2023/01/19

More Info


Sudden tooth pain, especially after a dental filling, can be concerning and uncomfortable. Based on your description, it seems that you are experiencing pain localized around the area of a previously filled tooth, with swelling in the gums above it. Here are some potential causes and solutions to consider:

Possible Causes of Tooth Pain After Filling
1. Pulpitis: The filling may have caused irritation to the dental pulp, which is the innermost part of the tooth containing nerves and blood vessels. If the pulp becomes inflamed (pulpitis), it can lead to significant pain, especially when biting down or when exposed to temperature changes.

2. High Filling: If the filling is too high, it can cause discomfort when biting. This can lead to increased pressure on the tooth, resulting in pain. A dental professional can easily adjust the filling to alleviate this issue.

3. Gum Infection: The swelling in your gums could indicate an infection, possibly due to bacteria entering through the gum line or around the filling. This can lead to localized pain and discomfort.

4. Cracked Tooth: If the tooth has developed a crack, it may not be visible on X-rays but can cause pain when pressure is applied. Cracks can also lead to sensitivity and discomfort.

5. Sinus Issues: Sometimes, pain in the upper teeth can be referred pain from sinus infections or issues. If you are experiencing other symptoms like nasal congestion or facial pressure, this could be a contributing factor.


Solutions and Recommendations
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, if the pain persists or worsens, it is crucial to seek professional help.

2. Avoid Certain Foods: Until you can see a dentist, try to avoid hard, crunchy, or very hot or cold foods that might exacerbate the pain. Stick to softer foods that require less chewing.

3. Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and may provide some relief from gum swelling.

4. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the pain temporarily.

5. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, fever, or if the pain becomes unbearable, it is essential to seek dental care as soon as possible.

6. Dental Visit: Once you have the opportunity, make an appointment with your dentist. They can assess the filling, check for any signs of infection, and determine if further treatment is necessary, such as a root canal or adjustment of the filling.


Conclusion
While it can be frustrating to deal with sudden tooth pain, especially during a busy time like the holidays, understanding the potential causes can help you manage your symptoms until you can see a dentist. Remember, dental health is crucial, and addressing issues promptly can prevent more significant problems down the line. If your symptoms persist or worsen, do not hesitate to seek professional dental care.

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