Tooth Sensitivity: When to Seek Dental Help - Dentistry

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Teeth


My teeth...
the ones on the top, feel strange after the filling.
Later, I went to see the dentist again.
He said it might be too high and that he used a little too much material.
Now, when I eat something cold or hot, it hurts a lot.
Sometimes, even when I'm not eating, it still hurts a little.
Should I go back for another check-up?

Xiao Yi, 10~19 year old female. Ask Date: 2007/01/20

Dr. Lin Qingye reply Dentistry


Mr.
Xiao Yi has dental issues and should see a dentist promptly to thoroughly resolve his pain.
Dr.
LIN 2007/01/22

Reply Date: 2007/01/20

More Info


Tooth sensitivity is a common issue that many people experience, especially after dental procedures such as fillings or crowns. It can manifest as sharp pain or discomfort when consuming hot or cold foods and beverages, or even spontaneous pain without any apparent trigger. Your description of feeling discomfort after a dental filling, particularly when eating cold or hot items, indicates that you may be dealing with heightened tooth sensitivity, which can arise from various factors.

Firstly, it’s important to understand that tooth sensitivity can occur for several reasons. After a dental filling, the tooth may be more sensitive due to the trauma of the procedure itself. The dental drill can irritate the nerve endings within the tooth, leading to temporary sensitivity. Additionally, if the filling is slightly high or if it interferes with your bite, it can cause discomfort when you chew or apply pressure to the tooth. This is often referred to as "occlusal trauma," where the tooth is subjected to excessive forces during biting or chewing.

In your case, since you mentioned that the sensitivity persists even when not eating, it could indicate that the filling may be too high, causing discomfort when your teeth come together. This can lead to an uneven bite, which can exacerbate sensitivity and discomfort. Furthermore, if the filling is close to the nerve of the tooth, it could also lead to increased sensitivity, especially to temperature changes.

Given your symptoms, it is advisable to seek dental help again. A follow-up visit to your dentist is essential to evaluate the filling and your bite. The dentist can check if the filling is indeed too high and make necessary adjustments to ensure that your bite is even. They may also assess the tooth for any underlying issues, such as decay that may have been missed during the initial treatment or signs of pulpitis, which is inflammation of the dental pulp that can cause significant sensitivity and pain.

In addition to seeking dental care, there are some home remedies and over-the-counter solutions that may help alleviate your discomfort in the meantime. Using a desensitizing toothpaste can be beneficial, as these products contain compounds that help block the transmission of pain signals from the tooth surface to the nerve. Additionally, practicing good oral hygiene by gently brushing with a soft-bristled toothbrush and avoiding overly aggressive brushing can help protect sensitive teeth.

If the sensitivity continues or worsens, it may indicate a more serious issue, such as a need for root canal treatment, especially if you experience severe pain or swelling. Therefore, it’s crucial to monitor your symptoms closely and communicate any changes to your dentist.

In summary, your experience of tooth sensitivity after a filling is not uncommon, but it is important to address it promptly. A follow-up appointment with your dentist will help determine the cause of your sensitivity and provide appropriate treatment to alleviate your discomfort. Don’t hesitate to reach out to your dental professional, as they are best equipped to help you manage and resolve these issues effectively.

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