Dental Fillings: Allergic Reactions and Complications

Cavities..?

Recently, I visited the dentist due to cavities, and after each filling, I experienced significant abdominal pain.
One of the fillings fell out the next day—the white part initially came off, and later the silver part also came out.
It’s possible that I ingested some of the material, and since then, I have been experiencing allergic reactions throughout my body, resembling hives.
My neck feels strange, my breathing is not smooth, and it feels like something is stuck.
I also have headaches.
Could this be related to the dental materials used for the fillings, or could it be because I ingested some of the filling material?

alexgg, 20~29 year old female. Ask Date: 2002/07/29

Dr. Lin Qingye reply Dentistry

1.
Is the timing for dental visits appropriate? Before or after meals? How is your gastrointestinal system? 2.
The materials used for fillings in the mouth are generally harmless, and most accidentally ingested fallen fillings will be expelled through the stool.
3.
Have you returned to the original dental office for a follow-up? You can ask the dentist to check for any other issues.
If you feel uncomfortable, you are welcome to come to our clinic, and I will personally examine you, as I believe I can provide you with satisfactory medical care.

Reply Date: 2002/07/29

More Info

It sounds like you're experiencing a concerning set of symptoms following your dental fillings, and it's important to address these issues carefully. Let's break down your situation and provide some insights into potential allergic reactions and complications related to dental fillings.

Understanding Dental Fillings and Allergic Reactions
Dental fillings are commonly used to restore teeth affected by cavities. They can be made from various materials, including composite resins (white fillings), amalgam (silver fillings), and other materials. While these materials are generally safe, some individuals may experience allergic reactions or sensitivities to certain components.

1. Allergic Reactions: Allergies to dental materials can manifest in various ways. Common symptoms include localized swelling, redness, itching, and in some cases, systemic reactions like hives (urticaria) or respiratory issues. If you are experiencing hives and respiratory discomfort, it could indicate an allergic reaction to one of the materials used in your fillings or even to the anesthetic used during the procedure.

2. Filling Failure: You mentioned that the white filling fell out the day after it was placed, and later the silver portion also came loose. This could be due to several factors, including improper bonding, contamination during the procedure, or the material not being suitable for your specific dental needs. If a filling falls out, it can expose the underlying tooth structure, leading to further complications, including sensitivity and potential infection.

3. Ingesting Filling Material: If you suspect that you may have swallowed part of the filling, it’s essential to consult with a healthcare professional. While most dental materials are considered safe, ingesting them can lead to gastrointestinal discomfort or other reactions. If you experience persistent symptoms, such as abdominal pain or changes in your health, it’s crucial to seek medical attention.

Symptoms You Described
- Abdominal Pain: This could be related to several factors, including an allergic reaction, gastrointestinal irritation from swallowing material, or even anxiety related to your dental experience.
- Hives and Respiratory Issues: These symptoms are concerning and suggest a possible allergic reaction. If you are experiencing difficulty breathing or a sensation of something being stuck in your throat, you should seek immediate medical attention.

- Headaches: These could be tension-related, possibly stemming from anxiety or discomfort during the dental procedure, or they could be a reaction to the materials used.

Recommendations
1. Consult Your Dentist: Return to your dentist and explain your symptoms in detail. It’s crucial for them to know about your allergic reactions and the issues with the fillings. They may need to use alternative materials or adjust their technique to ensure a better fit and bond.

2. Seek Medical Attention: Given your symptoms of hives and respiratory discomfort, it’s advisable to consult a healthcare professional. They can assess whether you are experiencing an allergic reaction and provide appropriate treatment.

3. Consider Allergy Testing: If you suspect that you have a material allergy, discussing allergy testing with your healthcare provider may be beneficial. This can help identify specific allergens and guide future dental treatments.

4. Document Your Symptoms: Keep a record of your symptoms, including when they occur and their severity. This information can be helpful for both your dentist and your healthcare provider in diagnosing and treating your condition.

5. Follow-Up Care: After your fillings are replaced or adjusted, ensure you have a follow-up appointment to monitor your recovery and address any ongoing concerns.

In conclusion, while dental fillings are generally safe, allergic reactions and complications can occur. It’s essential to communicate openly with your dental and medical providers to ensure your health and comfort. Don’t hesitate to seek help if your symptoms persist or worsen. Your well-being is the top priority.

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