Sensitivity After Ceramic Inlay: Questions About Dental Care and Maintenance - Dentistry

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After receiving a unilateral ceramic inlay (full coverage on a large molar) five months ago, I have recently started experiencing sensitivity to cold beverages?


Hello, doctor.
Earlier this year, I had a single ceramic inlay placed.
Due to the extensive area of the silver filling, after removing the silver, I temporarily filled the cavity with blue QQ material.
I ensured there was no sensitivity or pain and observed it for three months before proceeding with the dental restoration.
The restoration was done using a full-coverage ceramic filling.
After placing the ceramic block, I experienced no sensitivity when eating hot or cold foods or during chewing.

However, a couple of months ago, I noticed a residue feeling at the junction between the ceramic and my natural tooth.
The dentist examined it and thought it was tartar, which was subsequently removed.
Last month, during a follow-up visit for a full mouth cleaning, the dentist skipped the area with the ceramic filling.
Up until this point, everything seemed fine, but starting this week, I have felt some sensitivity when drinking cold beverages, though it is not painful.
I would like to ask a few questions:
1) How long should I observe this sensitivity before seeking further evaluation?
2) Is it advisable to perform dental cleanings on full-coverage ceramic inlays? During my first localized cleaning, the dentist did not clean deeply but focused on specific areas.
3) Before the localized cleaning, I mentioned a feeling of something being present on the inner side of my tooth, and the dentist suggested scraping the junction to check for residual material.
Although it was later identified as tartar, I am concerned that the scraping action may have removed some of the bonding material, leading to the sensitivity I am now experiencing.
Thank you for your response.

UY, 30~39 year old female. Ask Date: 2023/07/18

Dr. Lin Jiayong reply Dentistry


Hello: 1.
The placement of an inlay (or crown) is considered complete, as these types of local restorations are rarely secured with temporary adhesives for observation.
Therefore, if it has been confirmed that it was cemented after three months, it is regarded as the completion of treatment.
The next step is to use caution and schedule regular check-ups for maintenance.
Teeth are ultimately consumables, and one should not expect them to last a lifetime without issues (excessive expectations often lead to disappointment).
2.
It is recommended to inform the dentist before a dental cleaning, requesting the use of special instruments or rubber scalers for the cleaning process (the same applies to the cleaning of implant areas, which also require specialized instruments).
3.
Please have the original dentist handle any issues.
After all, it has only been 2 to 3 years, and if there are any problems, it is more appropriate for the original dentist to address them.

Reply Date: 2023/07/18

More Info


When experiencing sensitivity after a ceramic inlay, it’s important to understand the potential causes and appropriate responses. Sensitivity can arise from various factors, including the nature of the dental work performed, the materials used, and the condition of the surrounding teeth and gums.
1. Observation Period: If you are experiencing sensitivity after the placement of a ceramic inlay, it is advisable to monitor the situation for a few weeks. Sensitivity can sometimes be a normal response as the tooth adjusts to the new restoration. However, if the sensitivity persists beyond a month or worsens, it would be prudent to return to your dentist for a thorough evaluation. Your dentist may want to check for any underlying issues, such as improper fit of the inlay, which could lead to discomfort.

2. Dental Cleanings with Ceramic Inlays: Ceramic inlays, especially full-coverage ones, are generally compatible with routine dental cleanings. However, it is crucial to inform your dental hygienist about the inlay before the cleaning. They may need to use specific techniques or instruments to avoid damaging the restoration. While ceramic materials are durable, they can be sensitive to aggressive cleaning methods that might cause micro-abrasions or damage to the margins of the inlay.

3. Residual Adhesives and Sensitivity: The sensation of residual adhesive or discomfort at the junction between the ceramic inlay and the natural tooth structure can sometimes be misinterpreted as sensitivity. If your dentist has indicated that there was residual adhesive, it is essential to ensure that it has been adequately removed. If the sensitivity persists after cleaning, it may indicate that the inlay is not fitting properly, or there may be an issue with the tooth pulp, such as inflammation or irritation.

In terms of maintenance, here are some additional recommendations:
- Oral Hygiene: Maintain excellent oral hygiene practices, including brushing twice a day with a fluoride toothpaste and flossing daily. This will help prevent plaque buildup around the inlay and reduce the risk of sensitivity.

- Dietary Considerations: If you notice that certain foods or drinks trigger sensitivity, it may be beneficial to avoid them temporarily. Cold beverages, in particular, can exacerbate sensitivity, so consider consuming them at a moderate temperature.

- Regular Dental Check-ups: Schedule regular dental check-ups, ideally every six months, to monitor the condition of the inlay and surrounding teeth. Your dentist can assess the fit and integrity of the inlay and address any emerging issues before they become significant problems.

- Desensitizing Products: If sensitivity continues to be an issue, consider using desensitizing toothpaste, which can help reduce discomfort over time. These products work by blocking the nerve pathways in the teeth, providing relief from sensitivity.

In conclusion, while some sensitivity after a ceramic inlay can be normal, persistent or worsening symptoms warrant further investigation by your dentist. Regular communication with your dental care provider and adherence to good oral hygiene practices will help ensure the longevity of your restoration and the health of your teeth. If you have any concerns about your sensitivity or the condition of your inlay, do not hesitate to reach out to your dentist for further evaluation and guidance.

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