Managing Tooth Pain After Filling and Choosing the Right Dentures - Dentistry

More Info

---

Hello Tina,
Thank you for your detailed questions regarding your dental situation. It sounds like you are dealing with a complex set of issues involving missing teeth, potential fillings, and the choice of dentures. Let’s break down your concerns step by step.


1. Managing Tooth Pain After Filling
The pain you are experiencing after your filling could be due to several factors. First, it’s not uncommon for teeth to be sensitive to temperature changes after a filling, especially if the cavity was deep or close to the nerve. This sensitivity can last for a few days to a couple of weeks. If the pain persists beyond this period or worsens, it might indicate that the filling is too high, causing discomfort when you bite down, or that there may be an underlying issue such as pulpitis (inflammation of the dental pulp).

If you are experiencing sharp pain when consuming hot or cold beverages, it would be wise to return to your dentist for a follow-up. They may want to take another X-ray to ensure that the filling is intact and that there are no additional cavities or issues with the tooth structure.

2. Choosing the Right Dentures
Regarding your missing upper lateral incisor and canine, if the roots of the incisor are still present and healthy, your dentist may recommend keeping the root and placing a crown on it instead of extracting it. This can provide a more stable foundation for a prosthetic tooth. However, if the root is compromised or if there is significant decay, extraction may be necessary.

When it comes to dentures, you mentioned considering a removable partial denture (RPD) with clasps. There are two types of RPDs: those with metal clasps and those with flexible clasps.
- Metal Clasp RPDs: These are typically more durable and provide a secure fit. However, they can be more visible and may not be as aesthetically pleasing.


- Flexible RPDs: These are made from a flexible material that can be more comfortable and less noticeable. However, they may not be as durable as metal clasps and can be more prone to wear and tear.

The choice between these options often depends on your personal preferences regarding comfort, aesthetics, and budget. If you are looking for a more natural appearance and comfort, a flexible RPD might be the way to go. However, if durability and stability are your primary concerns, a metal clasp RPD could be more suitable.


3. Next Steps
Given your situation, I recommend the following steps:
1. Follow-Up Appointment: Schedule a follow-up with your dentist to address the sensitivity after your filling. They can assess whether the filling needs adjustment or if further treatment is necessary.

2. Consultation for Dentures: Discuss with your dentist the possibility of keeping the root of your incisor and the best type of denture for your needs. They can provide you with options based on your oral health and aesthetic preferences.

3. X-Ray Evaluation: If you have not had an X-ray recently, it may be beneficial to have one done to evaluate the condition of your teeth and roots, especially the one adjacent to the filling.

4. Oral Hygiene: Continue to maintain good oral hygiene practices, including brushing twice a day and flossing, to prevent further decay and complications.

In conclusion, managing tooth pain after a filling and choosing the right dentures requires careful consideration and professional guidance. Make sure to communicate openly with your dentist about your concerns and preferences to achieve the best outcome for your dental health.

Best wishes for your dental journey, and don’t hesitate to reach out if you have more questions!
Sincerely,
Doctor Q&A Teams