Dealing with a Fallen Dental Filling: What to Do Before Your Appointment - Dentistry

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Filling dislodged?


The dental filling made of resin fell out five months ago.
I have a dental appointment scheduled in two weeks.
Currently, there is no pain; do I need to take any special precautions? Can I eat normally, use fluoride toothpaste, brush my teeth, and use mouthwash? Will waiting two weeks worsen the cavity?

Hong, 20~29 year old female. Ask Date: 2023/06/11

Dr. Lin Jiayong reply Dentistry


Hello: It is advisable to be cautious with your diet and avoid eating hard foods.
Additionally, you should maintain cleanliness, among other things.
Two weeks is not a long time, and you should be able to return for your follow-up appointment as scheduled.

Reply Date: 2023/06/11

More Info


When dealing with a fallen dental filling, particularly a composite resin filling that has come loose, it's essential to take certain precautions to maintain oral health until you can see your dentist. Here’s a comprehensive guide on what to do before your appointment.


Immediate Care for the Affected Tooth
1. Maintain Oral Hygiene: Continue to brush your teeth twice a day with fluoride toothpaste. Be gentle around the affected area to avoid further damage or discomfort. If the tooth is sensitive, consider using a soft-bristled toothbrush.

2. Avoid Certain Foods: While you can generally eat, it’s advisable to avoid very hard, sticky, or chewy foods that could exacerbate the situation. Foods like nuts, hard candies, or chewing gum can put additional stress on the tooth and may lead to further complications.

3. Use Fluoride Toothpaste: Using fluoride toothpaste is beneficial as it helps to strengthen the enamel and can provide some protection against decay. If the tooth is sensitive, you might want to consider a toothpaste specifically designed for sensitive teeth.

4. Rinse with Mouthwash: If you use mouthwash, choose one that is alcohol-free to avoid irritation. Antimicrobial mouthwashes can help reduce bacteria in your mouth, which is particularly important when there is an exposed area where bacteria can enter.

5. Monitor for Symptoms: Keep an eye on the affected tooth and surrounding gums. If you notice any signs of pain, swelling, or increased sensitivity, it’s crucial to inform your dentist when you go for your appointment.


Risks of Delaying Treatment
While you may not currently feel pain, delaying treatment for two weeks can potentially lead to complications. Here are some risks associated with waiting:
- Increased Risk of Decay: The exposed tooth structure can be more susceptible to decay. Bacteria can enter through the exposed area, leading to cavities or even an infection if left untreated.

- Sensitivity: The tooth may become more sensitive to temperature changes or pressure, which can lead to discomfort when eating or drinking.

- Potential for Further Damage: If the filling has fallen out, the structural integrity of the tooth may be compromised. Chewing or biting down on hard foods can lead to cracks or fractures in the tooth.


What to Discuss with Your Dentist
When you visit your dentist, be prepared to discuss the following:
- Duration of the Filling: Mention how long the filling has been in place and any previous issues you may have had with it.

- Symptoms: Inform your dentist about any changes in sensitivity or discomfort you may have experienced since the filling fell out.

- Treatment Options: Ask about the best options for replacing the filling and any preventive measures you can take to avoid similar issues in the future.


Conclusion
In summary, while you can manage the situation for a couple of weeks by maintaining good oral hygiene and avoiding certain foods, it’s crucial to be vigilant about any changes in your tooth’s condition. Make sure to communicate openly with your dentist during your appointment about your concerns and any symptoms you may have experienced. Taking these steps can help mitigate the risk of further complications and ensure that your dental health remains intact until you can receive proper treatment.

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