Should You Return for Resin Filling Adjustment After Root Canal? - Dentistry

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Resin dental filling


A few days ago, I had a resin filling done after root canal treatment on my lower right molar at a nearby clinic.
The filling is located on the cheek side, and now I've noticed that it seems to be slightly indented, as if it's being pressed by my cheek.
My gums are experiencing mild discomfort, but there are no other symptoms.
Should I return to the same dentist for a re-evaluation and possible replacement of the filling, or can I maintain the current situation and observe for a while to see if any other issues arise before going back?

Mr. Wang, 20~29 year old female. Ask Date: 2023/12/16

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to observe for 1 to 2 weeks and document all your discomforts and issues.
If there is still no relief, please call to schedule an appointment with your original clinic to consult with your previous physician.

Reply Date: 2023/12/16

More Info


After undergoing a root canal treatment followed by a resin filling, it's not uncommon to experience some discomfort or changes in the filling's appearance, especially if the filling seems to be indented or compressed against the cheek. In your case, since you mentioned that the filling appears to be slightly indented and that you are experiencing mild discomfort in the gums, it is advisable to consider a follow-up visit with your dentist.


Reasons to Return for an Adjustment
1. Discomfort and Gum Sensitivity: Mild discomfort in the gums can be a sign that the filling is not properly contoured or that it is putting undue pressure on the surrounding tissues. This can lead to further complications if left unaddressed. An adjustment may alleviate the discomfort and prevent potential issues such as gum inflammation or infection.

2. Proper Contouring: Resin fillings should be shaped to fit comfortably within the tooth structure and not interfere with the bite or surrounding soft tissues. If the filling is indented, it may not be providing adequate support to the tooth or may be causing an improper bite alignment. This can lead to additional wear on the tooth or discomfort when chewing.

3. Monitoring for Symptoms: While you may not have significant symptoms beyond mild discomfort, it’s important to monitor for any changes. If you notice increased pain, swelling, or any signs of infection (such as pus or fever), you should seek immediate dental care.
4. Preventive Care: Returning to your dentist for an adjustment can be seen as a preventive measure. It’s better to address minor issues before they develop into more serious problems that could require more extensive treatment.


What to Expect During the Follow-Up
During your follow-up appointment, your dentist will likely:
- Examine the Filling: They will assess the filling to determine if it is properly placed and contoured.
- Check for Bite Issues: Your dentist may ask you to bite down to check for any misalignment or pressure points that could be causing discomfort.

- Make Adjustments: If necessary, they will reshape or recontour the filling to ensure it fits well and does not cause any irritation to the gums or cheeks.

- Discuss Symptoms: If you have any concerns or if the discomfort persists, be sure to discuss these with your dentist. They may want to take X-rays to ensure that the root canal was successful and that there are no underlying issues.


Conclusion
In summary, while it may be tempting to wait and see if the discomfort resolves on its own, it is generally advisable to return to your dentist for an evaluation and possible adjustment of the resin filling. Early intervention can prevent further complications and ensure that your dental health is maintained. If you have any concerns about the procedure or the materials used, do not hesitate to discuss these with your dentist, as they can provide you with the best guidance tailored to your specific situation.

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