Dental cavity filling issues?
Hello, I had a cavity in my front tooth before the New Year, so the dentist filled it for me.
Later, I noticed that my tooth was sensitive to cold, hot, and even room temperature foods.
I thought about switching to another clinic, but the dentist said I had to return to my original clinic due to insurance issues.
However, the dentist mentioned that the previous dentist might not have filled the tooth properly, which could be causing my tooth sensitivity.
I went back to the original clinic, and the dentist opened it up and refilled it.
The next day, I discovered another cavity in a different spot, so my tooth was still sensitive.
I immediately returned to the original clinic, and the dentist said that he was afraid that reopening it might damage the nerve, so he applied some medication and told me to monitor the situation.
But once the medication wears off, won't I still need to have it reopened and refilled? I want to switch clinics, but every place tells me to go back to the original one.
I really have lost confidence in this dentist...
What should I do? Who can help save my front tooth? I really don't want to undergo a root canal!
Niming, 30~39 year old female. Ask Date: 2016/02/20
Dr. Zeng Guanghui reply Dentistry
The above situation may be due to the filling material not being compacted tightly, or the original cavity being larger, which prevents the filling material from achieving a secure fit.
It is recommended to consult a dentist to evaluate whether root canal treatment is necessary.
Reply Date: 2016/02/20
More Info
Dealing with tooth decay and persistent pain can be incredibly frustrating, especially when previous dental treatments have not resolved the issue. It sounds like you have been through a challenging experience with your front tooth, and I understand your concerns about the quality of care you have received. Here’s a comprehensive approach to address your situation.
First, it’s essential to understand that tooth sensitivity, especially after dental work, can be a common issue. This sensitivity can arise from various factors, including the type of filling material used, the depth of the cavity, or even the technique employed by the dentist. When a cavity is filled, if the filling is not properly sealed or if there is still decay present, it can lead to ongoing pain or sensitivity to temperature changes.
Given your experience, it’s understandable that you feel hesitant about returning to the same dentist. Trust in your healthcare provider is crucial, especially in dentistry, where the procedures can be invasive and the outcomes significantly affect your quality of life. If you feel that your concerns are not being adequately addressed, seeking a second opinion is a reasonable step.
Here are some steps you can take to manage your situation:
1. Seek a Second Opinion: If you have lost confidence in your current dentist, consider visiting another dental professional for a second opinion. Look for a dentist who specializes in restorative dentistry or endodontics (root canal therapy) if you are concerned about nerve involvement. They can provide a fresh perspective on your situation and may suggest alternative treatment options.
2. Discuss Your Concerns: When you visit a new dentist, be open about your previous experiences and your fears regarding further treatment. A good dentist will listen to your concerns and explain the rationale behind their recommendations clearly.
3. Consider Diagnostic Imaging: If the pain persists, it may be beneficial to have additional diagnostic imaging, such as X-rays, to assess the condition of the tooth and surrounding structures. This can help identify any underlying issues that may not be visible during a standard examination.
4. Explore Treatment Options: Depending on the findings, your new dentist may suggest various treatment options. If there is a concern about nerve damage, they may recommend a root canal treatment, which can alleviate pain and save the tooth. If the sensitivity is due to a minor issue, they may suggest a different type of filling or a desensitizing treatment.
5. Pain Management: In the meantime, managing your pain is crucial. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. Additionally, using desensitizing toothpaste may provide some relief from sensitivity.
6. Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing twice a day with fluoride toothpaste and flossing daily. This can help prevent further decay and maintain the health of your other teeth.
7. Follow-Up Care: After any treatment, ensure you have a follow-up appointment to monitor the situation. This will help catch any potential issues early and provide peace of mind.
In conclusion, it’s essential to advocate for your dental health. If you feel that your current provider is not meeting your needs, don’t hesitate to seek out a new dentist who can provide the care and attention you deserve. Remember, your comfort and confidence in your dental care are paramount, and there are many professionals willing to help you navigate this challenging situation.
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