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February 10, 2012

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Problems With Dental Fillings

Introduction

Tooth sensitivity following placement of a filling is fairly common. A tooth may be sensitive to pressure, air, sweet foods, or temperature. Usually, the sensitivity resolves on its own within a few weeks. During this time, avoid those things that are causing the sensitivity. Pain relievers are generally not required.

Contact your dentist if the sensitivity does not subside within 2 to 4 weeks or if your tooth is extremely sensitive. He or she may recommend you use a desensitizing toothpaste, may apply a desensitizing agent to the tooth, or possibly suggest a root canal procedure.

Pain Around Fillings

There are several explanations for pain around fillings, each resulting from a different cause.

  1. Pain when you bite. With this type of pain, the pain occurs when you bite down. The pain is noticed soon after the anesthesia wears off and continues over time. In this case, the filling is interfering with your bite. You will need to return to your dentist and have the filling reshaped.
  2. Pain when your teeth touch. This pain is a very sharp pain that occurs only when your teeth touch. The pain is likely caused by the touching of two different metal surfaces (for example, the silver amalgam in a newly filled tooth and a gold crown on another tooth with which it touches). This pain should resolve on its own within a short period of time.
  3. "Toothache-type" pain. If the decay was very deep to the pulp of the tooth, this "toothache" response may indicate this tissue is no longer healthy. If this is the case, "root canal" treatment will be required.
  4. Referred pain. With this type of pain, you experience pain or sensitivity in other teeth besides the one that received the filling. With this particular pain, there is likely nothing wrong with your teeth. The filled tooth is simply passing along "pain signals" it's receiving to other teeth. This pain should decrease on its own over 1 to 2 weeks.



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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Problems With Dental Fillings

What is a toothache?

"Toothache" usually refers to pain around the teeth or jaws primarily as a result of a dental condition. In most instances, toothaches are caused by tooth problems, such as a dental cavity, a cracked tooth, an exposed tooth root, or gum disease. However, disorders of the jaw joint (temporo-mandibular joint) can also cause pain that is referred to as "toothache." The severity of a toothache can range from chronic and mild to sharp and excruciating. The pain may be aggravated by chewing or by cold or heat. A thorough oral examination, which includes dental X-rays, can help determine whether the toothache is coming from a tooth or jaw problem and the cause.

Sometimes, a toothache may be caused by a problem not originating from a tooth or the jaw. Pain around the teeth and the jaws can be symptoms of diseases of the heart (such as angina or heart attack), ears (such as inner or external ear infections), and sinuses (air passages of the cheekb...

Read the Toothache article »




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