Dental filling inquiry?
I have a front tooth that has been filled before, and recently while getting my teeth cleaned, my fingernail accidentally scraped the junction of the filling on the front of the tooth, creating a slight discrepancy that feels a bit rough.
However, the tooth itself doesn't have any discomfort, only the noticeable difference at the junction and the sensation of something touching the tooth.
I would like to know if this slight discrepancy at the junction is normal, or if there might be an issue with the filling that requires a visit to the dentist.
Xiao Xiao, 20~29 year old female. Ask Date: 2024/04/21
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to return to the physician for polishing.
Reply Date: 2024/04/21
More Info
When it comes to dental fillings and the sensations you are experiencing, it is important to understand a few key points regarding dental restorations and how they interact with your natural teeth.
Firstly, dental fillings are designed to restore the function and integrity of a tooth that has been damaged by decay or trauma. When a filling is placed, it is typically shaped and polished to match the contours of the surrounding tooth structure. However, it is not uncommon for patients to notice slight differences in texture or sensation at the junction between the filling and the natural tooth. This can be due to several factors.
1. Material Properties: Different filling materials (such as amalgam, composite resin, or gold) have varying physical properties. For instance, composite resins can sometimes shrink slightly as they cure, which may create a small gap or unevenness at the interface with the tooth. This can lead to a sensation of "catching" or "dragging" when you touch that area with your finger or tongue.
2. Polishing and Contouring: After a filling is placed, the dentist usually polishes it to ensure a smooth surface. However, if the filling is not adequately polished or contoured, it may feel rough or uneven. This can also lead to a sensation of a "step" or drop-off at the junction of the filling and the tooth.
3. Wear and Tear: Over time, fillings can wear down due to normal chewing forces. If the filling has become worn or if the tooth has shifted slightly, this can create a noticeable difference in sensation.
4. Sensitivity and Discomfort: While you mentioned that you do not have significant discomfort, it is important to note that any change in sensation, especially if it is new, should be monitored. Sometimes, changes in sensation can indicate that the filling is not properly sealed, which could lead to further decay or sensitivity.
Given your description of feeling a "drop" or "catch" at the junction of the filling, it is advisable to consult with your dentist. They can assess the filling and determine if it needs to be adjusted or replaced. An examination will help ensure that the filling is functioning as intended and that there are no underlying issues, such as decay beneath the filling or problems with the tooth structure itself.
In summary, while slight variations in sensation at the junction of a filling and a tooth can be normal, any new or concerning changes should be evaluated by a dental professional. Regular dental check-ups are essential for maintaining oral health and addressing any issues before they become more serious. If you are experiencing any discomfort or if the sensation persists, do not hesitate to reach out to your dentist for a thorough examination and appropriate treatment.
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