Post-Filling Tooth Pain: What to Do After Two Months? - Dentistry

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It has been two months since the dental filling, and there is some pain?


Hello, doctor.
The last tooth on the top has been filled for over two months due to a cavity, but now it hurts a bit when I eat.
It hurts when I press on the center of the tooth.
However, the dentist said it hasn't reached the nerve.
In this situation, would removing the filling and refilling it help improve the condition?

Xiao Mao, 20~29 year old female. Ask Date: 2010/07/13

Dr. Zhuang Suhui reply Dentistry


Hello: We can first adjust the occlusion.
If the pain persists after the adjustment, it may be necessary to perform a root canal treatment.
We will then assess the condition of the tooth to determine the next steps.

Reply Date: 2010/07/13

More Info


After two months of experiencing pain in a tooth that has been filled, it's understandable to be concerned about the ongoing discomfort. The fact that you are feeling pain when biting or pressing on the tooth suggests that there may be an underlying issue that needs to be addressed. Here are some potential explanations and recommendations based on your situation.

Firstly, it’s important to understand that dental fillings can sometimes lead to discomfort for various reasons. One common cause of pain after a filling is that the filling material may be too high, causing undue pressure on the tooth when biting. This can lead to sensitivity and pain. If this is the case, a dentist can easily adjust the filling to ensure it is level with the surrounding teeth.

Another possibility is that the tooth may have developed a secondary issue, such as a crack or fracture, which can occur even in teeth that have been filled. Cracks can sometimes be difficult to detect, but they can lead to pain, especially when pressure is applied. If this is the case, further evaluation, possibly including X-rays, may be necessary to determine the extent of the damage.

Additionally, even if the dentist has indicated that the cavity did not reach the nerve, it is still possible for the pulp of the tooth to become inflamed or infected after a filling. This condition, known as pulpitis, can cause significant pain and may require further treatment, such as a root canal, if the inflammation does not resolve.

Regarding your question about removing the filling and replacing it, this is indeed a potential option. If the filling is deemed to be the source of the pain—whether due to improper placement, material issues, or if there is a concern about underlying decay—removing the filling and redoing it could provide relief. However, this decision should be made in consultation with your dentist, who can assess the situation more thoroughly.

In the meantime, here are some steps you can take to manage the pain:
1. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation. Be sure to follow the recommended dosage.

2. Avoid Hard Foods: Stick to softer foods that require less chewing to minimize discomfort.

3. Good Oral Hygiene: Continue to maintain good oral hygiene by brushing and flossing gently around the affected tooth to prevent any further issues.

4. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the pain.

5. Follow-Up Appointment: Schedule a follow-up appointment with your dentist as soon as possible. They can perform a thorough examination and determine the best course of action based on your specific situation.

In conclusion, while it is possible that removing and replacing the filling may alleviate your pain, it is crucial to have a professional evaluation to identify the exact cause of your discomfort. Your dentist will be able to provide the most appropriate treatment plan tailored to your needs. Remember, timely intervention can prevent further complications and ensure the health of your tooth.

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