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Pain After White Composite Filling

 


Question:  Why does my tooth hurt after it just received a new white filling?  It did not hurt before!

Answer:  Your tooth should obviously not hurt after the filling, especially if it did not hurt before.  In this practice I do not have patients complaining of pain after white fillings are placed.  If you are experiencing pain, here are some reasons why:

  • Polymerization Shrinkage:  Composites (white fillings) shrink a little when they harden.  Generally the dentist will place the material into the cavity in a liquid to pasty form and then use a strong light (LED or Halogen) to instantly harden the material.  If the composite material is placed incorrectly or in bulk then the composite will shrink enough to either allow a little gap to form around the filling, or it will actually pull the tooth together.  Either way the tooth will become sensitive to hot and cold.
  • Too Large Composite:  Composite is a great material, in small fillings.  Once the filling reaches a certain size (1/3 the distance between the cusps or more than 2 surfaces) then it generally is not strong enough to function correctly.  Composite material is not strong enough to function exactly like tooth structure.  The tooth will bend, the composite will wear or fracture, and eventually failure is inevitable.  When the filling fails it will then require a much larger restoration or worse.
  • Fractures in Tooth: Often old silver mercury fillings, amalgams, are removed and replaced with white fillings for various reasons. These amalgams have too many issues to list here (let’s see if any ADA dentists complain), but the main one is that the expansion and contraction as well as compression over time results in tooth fractures. Removing these fillings and not recognizing the fractures (visually) will result in trouble. A fractured tooth should not receive a white composite filling!
  • Other Issues:  The two scenarios above are fairly common.  Often I see patients that have super large composite fillings (patches), and that is usually a warning sign to the quality of dentistry found in all the other teeth.  Composite material is great if used correctly.  It is not a cure-all.  It can have bubbles in it, fail to bond correctly, not cure all the way, etc.  Composite is very technique sensitive and is often placed without enough care.  This is where experience becomes important!

So, to answer this persons’ question – Your tooth could hurt for many reasons, none are good.  Talk to your dentist about this problem and see what they say.  If the answer is “wait and it will get better”, then seek out a second opinion.  Unfortunately Kentucky is not known for its quality dentistry (we are 49th and 50th in the US when it comes to number of teeth in adult mouths and oral health), so do your research and find a top dentist.  I suggest you look at the AACD (American Academy Of Cosmetic Dentistry) as one of your sources.  Select an accredited member as they have gone through some of the most rigorous training in the world and must live up to their reputation (there are several in Lexington and I am the only one in Louisville).

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posted in Announcements, Blog, Cosmetic Dentistry, General Dentistry

244 thoughts on “Pain After White Composite Filling

  1. hahndds

    This sounds more and more like a fracture! Let me know what happens on Friday :)

  2. hahndds

    While it is not good to use expired material, I would not be worried about that so much, assuming you are talking about a white filling material. The expiration date really is far beyond what the date on the tube says :) The material only gets harder to work with and dries out, at which point it cannot be used any longer.
    Dr. Chris

  3. hahndds

    If you have pain and you don’t agree with what your dentist says then I suggest you get a second opinion. There is always a chance that the filling was deep and large which could have resulted in the tooth dying. Often people don’t feel pain but have large areas of decay…

    Dr. Chris

  4. hahndds

    Dear Hannah,

    First, go back to the dentist and see if the “bite” is perfect.
    Second, if that does not solve it contact me again with more details about the pain etc. :)

    Thanks,

    Dr. Chris

  5. sukun

    Im facing d same problem, and it hurts terribly.

  6. K

    To Dr. Chris,

    Hello again! I’m the one who commented a few days ago with the possible fractured tooth. I went again to the dentist, and I’ll try to write what happened to the best of my memory, hopefully without too many mistakes. Thank you again for reading and giving your opinion, it’s very helpful and reassuring even if you aren’t able to confirm things in person! :)

    I asked whether the hurting tooth could be fractured, and my dentist said she didn’t think it was likely, but more that the previous silver-coloured filling had put pressure on the tooth that wasn’t replaced when she replaced it with the composite filling. She filed it yet again, and put a coat of varnish on it. In the morning when I tried to floss, there was the pressure pain on one side, but when she finished varnishing and did the after floss there wasn’t really pain/there was improvement. However, now that I’ve been able to eat, it feels as if the pain is still there but now spread out a little over the surface, if that makes sense? Again, not in the whole tooth or any time it’s touched, just in parts. She said that we would give it another week or so, and if things didn’t improve, she would suggest a root canal. I’m terrified at the thought :(

    I apparently also need my upper right wisdom tooth either fixed (filling), or removed. It had no issues coming in, and doesn’t have problems now besides the decay, but it is at an odd angle which makes it hard to clean even with the smaller toothbrush heads. I don’t mind having it removed-not as if I am using it!-but it is probably more drastic that way. What would you think? If the tooth is already out and in place, can it be pulled like any other tooth?

    I also had a filling in molar 7 on the bottom right, and it needs to be filed further (which I will have done next week), but it feels as if it’s causing my bite to be misplaced as one of my front lower incisors is now pushing on the top left one, including when I chew which isn’t ideal. Hopefully that will be fixed with a filing? I have a small jaw so had to have a lower incisor removed followed by braces when I was a teenager, so I’m very worried about them being pushed out of place again.

    Finally, we’ve been having problems with the anesthesia every session. Yesterday I had five injections, four on the same side for that lower molar, and still only my cheek and lips went numb. My tongue/gums/etc didn’t at all, and when she drilled down the tooth for the filling, I felt it and it was very painful. We tried three times inject/wait/file, but it didn’t take. In the end I said to get it over with, rather than come back, and she did but it was awful and hurt a lot. She said that it might be because I am so nervous (and this doesn’t help) but surely it has to work at some point regardless? 😀 This additionally makes me terrified of a possible root canal-they have the reputation for being painful, and if anesthesia doesn’t work, well… do you have any advice there either please?

    Thank you again for reading and replying, it’s really nice to have a second opinion/additional thoughts :)

    -K

  7. Austin

    I recently went in to get a cavity filled and received the composite filling. The pain and sensitivity after the novacaine wore off was brutal, especially to cold and extreme pressure. After going in to get the resulting bite checked out a few days later, the dentist suggested that shrinkage may have occurred (no one likes shrinkage) and he re-did the filing with amalgam or whatever the temporary filling is. It has felt much better since he did the procedure, so luckily it seems a root canal will not be in my near future.

  8. hahndds

    Dear Austin,

    Glad it worked out for you. Composite restorations are an amazing filling type but do require meticulous attention to detail and technique. Sounds like you had a bad experience there…hopefully in the future you can have that amalgam filling replaced with a proper white filling to prevent the tooth from fracturing.

    Cheers,

    Dr. Chris

  9. maxine

    I went to the dentist he said my fillings where leaking. So he replaced them. My right sided teeth where still hurting to bite on as well as to cold, so I waited about 3 days, I went back he did the freezing thing and it hurt bad. So he said they needed to be adjusted and said he was going to put basically so sort of installation before. It has been almost a week since and my jawline near my my ear and up to my ear is hurting as well as my tongue it feels as if I was biting it. The pain comes and goes but I cant tell if its my teeth still or my jaw still sore.

  10. hahndds

    Dear Maxine,

    When you do an ice test on a tooth you are looking for specific results:
    1. Quick response to cold and goes away quick = normal
    2. Quick response to cold and lingering = irritated tooth
    3. Slow, building response with aching = dead or dying tooth

    So, there are many issues that could be at play here. How large is the filling? Was it a silver mercury filling before?
    Adjusting the bite is always the first step. If that does not work the filling may need to be redone or a larger type of restoration such as a onlay or crown could be indicated.
    Send me more info and I will try to help more :)

    Keep smiling,
    Dr. Chris

  11. A.

    Dear Dr. Chris,

    This past June I had four amalgam fillings replaced with some kind of composite, on the four right-side molars, above and below. They were very old fillings (around 25-30 years old) but I had never had problems, never any pain or unusual sensitivity with them. It was my own initiative to replace them, purely out of concerns about mercury toxicity (of which I have experienced many of the known symptoms, for all the years since the fillings were placed).

    The dentist I found said it would be a simple procedure to have all these amalgam fillings replaced, no problem. I believed him: I had no idea that it could be in any way a complicated procedure. He followed all the best protocol for replacing mercury fillings, as far as I could tell, and has many years of experience with replacing amalgam fillings in his mercury-free holistic dentistry practice.

    After the new fillings were done, I went back once to have the bite adjusted, but then I continued to have sensitivity on that side. Throughout the following months I was not able to chew at all on that side, and even just drinking water hurt. But I read that sensitivity was typical, that the teeth needed to “settle”, so I did not worry too much. And the receptionist at the dentist’s office did not seem to think it was a big deal or cause for concern. But after three months began very severe pain, and one of those teeth (#2) has now died. It had the largest and deepest amalgam filling. The other three of those right-side molars are all still sensitive, and after trying the ice test I believe the back right molar below is also dying.

    Perhaps I can find a new dentist who has a deeper level of understanding and skill in these matters… Do you believe that every AACD-accredited dentist really has a similar level of expertise as you? There a few here in my area, and even an “accredited fellow”. Initially I had hoped to get the four left-side molars done as well (which are full of old amalgam fillings too), but now I have become very concerned about the whole thing, as you can imagine.

    I would like to find someone who understands as much about all this as you do, as I fear otherwise I may lose all the rest of my molars. Perhaps it would be best for me to come to your practice in Louisville. It is very far away, but the idea of losing all of my molars is a terrible thought.

    Any help or suggestions you might be able to give would be much appreciated.

    Thank you so much,
    A.

  12. Tony

    Hello Dr. Chris,

    I had a 26 year old amalgam filling replaced on my 2nd lower-left molar, with a composite filling, about three weeks ago, and I wish I never had done so. After the first week, the entire left-side of my face was is pain. A week later, the pain moved to the upper and lower left teeth, left-side of my jaw, and left ear. I am now on the third week, and the pain comes and goes, it normally starts a few minutes after I eat and brush. When I do get these occurrences of pain, it now only affects the left-side of my jaw. The tooth on which the filling was replaced, does not hurt, though it is sensitive to cold; it feels more like the nerves all along my jaw flare up, and cause the pain in my jaw.

    I have been taking one Advil twice a day; in the morning, and before going to sleep, but I can’t be on this drug forever. My question is, since the area of pain has been reduced, should I expect for all of the pain to eventually go away? I did revisit my dentist about one week ago, and she took x-rays, and said that all looked okay. She told me to wait another week, since the composite filling may need some time to settle (contract and then expand to it’s settled state). She says that this could definitely be the cause of the pain, since the composite filling is pulling on the tooth. I also noticed that this tooth has hairline fractures which are visible around the bottom , just before the tooth meets the gum.

    I would truly appreciate any recommendations, and thanks.

    Tony

  13. hahndds

    Dear Tony,

    I am sorry to hear about your experience… Here are my thoughts:

    1. Composites don’t need time to “settle”. Every material expands and contracts, including composite, but the composite material should be cured completely after placement.

    2. The reason we place composite in small increments (less than 2mm at a time) is to minimize polymerization shrinkage. The way we build the filling also is designed to minimize this. If the filling is not built correctly then it can put too much stress on the tooth.

    3. Silver mercury amalgams always crack a tooth, eventually, as they continue to expand and contract 3 times more than tooth structure. When you replace a amalgam you need to expect and look for these cracks. Often a “filling”, no matter what material (gold, porcelain, composite) with continue to put pressure on that crack and make it worse. Think of it like splitting wood. Once the axe has hit the wood it only takes a little more pressure on top of the axe to split the whole log in half.

    4. The furthest back tooth in your mouth gets the most biting force, making #3 above that much more important.

    5. If the tooth has a fracture, which is think is very likely, then it needs a crown to hold the tooth together before it breaks apart. It is critical that the dentist checks for cracks with high power loupes (magnification) and light after the amalgam was removed. Did the dentist have these? I find it impossible to deliver decent dentistry without 4.5x magnification!

    So, long story short, with the level of pain you are describing I would expect the need for a crown due to a fracture is your answer. If you wait too long the tooth could fracture beyond repair, even if the dentist does a root canal treatment (which is a whole new can of worms). Don’t let the dentist put you off. Either get the crown or redo the filling checking for fractures. Historically speaking amalgam replacement often results in crowns (I call it the seed restoration – check next blog post).

    I hope this helps!

    Keep smiling,

    Dr. Chris

  14. hahndds

    Dear Tony,

    I hope the last response helps :)

    To answer the questions you had in this comment, see below:

    I am in the middle of the spectrum (in everything actually), meaning, I have no label. I am not holistic or scientific, I am me. My experiences and gut feeling coupled with what I have learned from people I respect created my life philosophy. That being said, I am not a fan of amalgams, root canals or poorly done composite for that matter. Everything has a time and a place. Everything has a price attached to it. Nothing is perfect.

    So, while I am a AACD Accredited Cosmetic Dentist I can’t say everyone has my belief system. What I can do is tell you that these dentists, especially fellows, will find cracks, place fillings correctly and give you all the options. If you like you can send me the dentists in your area and I can tell you who I would see, if I have a preference :)

    Keep smiling,

    Dr. Chris

  15. Tony

    Thank you for the response Dr. Chris.

    I went to see my dentist today, and she removed the composite filling, and coated the part of my tooth which was drilled, with a liquid that is used to allow the tooth to generate dentin, and then she refilled the tooth with a temporary filling. She performed a cold test on the tooth, and I was late to react to the cold on that tooth, so she thinks that the tooth may be suffering pulpitis, causing the nerve to die. The tooth is not infected, nor was there any cavity, this tooth just had an old amalgam filling which she replaced four weeks ago. I was also late in reacting to the cold test on other teeth as well, so I don’t know how reliable this test is, in determining a dying nerve.

    My question is, do you think that the nerve is dying due to pulpitis, which is a result of having the amalgam replaced with a composite filling? She says that she wants to see me in two weeks, and if I do not react quick to a cold test on that tooth, then she will need to perform a root canal, since the nerve is dying. I don’t want to have a root canal, because I know that it will be downhill for that tooth from that point on (brittleness, blackness, etc.). Do you think that I will be just fine having a composite filling put back in, and no root canal?

  16. KK

    Hi!

    I had a composite filling done four weeks ago on bottom molar. I went in the next day for adjustment because one side of the tooth was very sharp. Everything was good but I noticed about a week later that I had sensitivity to pressure… If I ate anything semi-hard there was a shock of sensitivity that made me cringe. I don’t have constant ache or pain and no sensitivity to temp. Went in yesterday to have the dentist look at it as he said it might be the bite… he shaved a little off the side where he said was a contact point. It feels even more sensitive to pressure now.

    After the initial filling my dentist said that he had to go a little closer to the edge of my tooth than he thought he would which made the technique different and the edge of the actual tooth thinner. The filing is also very low. Dentist said the cavity was on the smaller side.

    Should I give it some time for my bite to adjust? My dentist said the next option is a crown…is this my only other option or should I consider something else first? I’d rather not have unnecessary work done and from what I read sometimes the filling just needs to be re-done?

    Thanks for any help you can give me!

  17. hahndds

    Dear KK,

    If there was a silver mercury filling in the tooth before then the chances are pretty good that it has a fracture, which would need a crown to hopefully fix.

    If there is no fracture then it could be polymerization shrinkage which would be due to bulk filling and curing the composite. This would require the filling to be redone in small increments.

    Those are the two most likely scenarios. Other issues could be the bite, which you already had adjusted, a failed bond – technique or moisture issues, and under-polymerization.

    It is impossible to know which of these issues it is, but most of the time it is a fracture from those wonderful amalgams!

    Keep smiling,

    Dr. Chris

  18. hahndds

    Dear Tony,

    Pulpitis simply means the tooth is irritated. A late response to a cold test is no reason for a root canal treatment.

    I would do just about anything before I got a root canal treatment myself!

    No liquid “generates dentin”. They probably put down gluma (which should not be applied near the pulp) or calcium hydroxide. Either way it would take more than 2 weeks to get a decent improvement.

    I would let the temporary filling sit until it feels better or actually gets worse. Then make a call. This could be a few months.

    Cheers,

    Christian

  19. Lee

    Dear Dr. Chris

    I have had a composite filling 5 weeks ago to my top premolar after an accident of falling off the stairs. The tooth was fractured and 20% of outer layer came off. When I went to see the dentist, he restored it with some composite resin bonding. The tooth was fine for about 5 weeks with slight sensitivity to cold water occasionally until yesterday where I had throbbing pain to the tooth. Drinking cold water gave a temporary comfort but the pain will continue to come back.

    I went to see the dentist again today and he did a tapping test and a cold test. I felt a very sharp pain when he tapped the tooth and the tooth didn’t react much to the cold test. There is no infection, nor have any cavity, just a composite filling 5 weeks ago. He explained that my nerve might be dead after the accident because the tooth was traumatised and suggested that I may need a root canal treatment. He also suggested that the nerve might be just irritated and should be fine after a while. We decided to take some X-rays to see if there is a problem. I received a call earlier from the assistant saying that there is no abscess shown on the X-ray to the tooth. Since I am going on holiday tomorrow and will not be back until 3 weeks later, I will have to wait till I come back to receive the treatment if the pain persists.

    My question is should I wait that long to get it treated? what happens if I left it untreated for 3 weeks? Is this what they call irreversible pulpitis?

    Thank you in advance for any help or suggestions that you provide

    Lee

  20. Adrianna Lynn

    Sorry to invade your thread but this is happening to me as well.
    I had the same and I am infuriated but with TWO teeth. I had a crown placed (first time–no fractures in tooth) and a different filling from when i was a teenager (I am almost 40 now) had to be replaced due to leakage.ZERO DECAY. When I was younger I didn’t take care of my teeth and got cavities in between the bands of my braces (funny, because that was not supposed to happen.)
    I moved to a new city and after having worked in ortho as an assistant I met two dentists right off the bat and knew they were no good, I went to a different one based upon a referral. Both teeth–no pain prior.I would not have know anything was wrong at all–the dentist said they (the fillings) needed to be replaced. Both molars–one top and one bottom. Nerves tested great prior. Now both are horrific pain to hot and cold, and pressure. I cannot even eat anything out of the refrigerator without wincing. I drink luke warm fluids–cannot have hot. It has been almost a year on the crown, and four months on the other (both composite) and the dentist and her staff are telling me it is MY FAULT and I am just a sensitive person. I don’t know who to go to here because everyone seems to be more of the same–they want to crown my whole mouth and give me quack advice, which is really ticking me off as I am entering medical school soon and my confidence and trust in the dental community is just shot. The dentist refuses to do anything for me. My insurance is statewide and I want to drive back home to where this never ever happened before but my old dentist doesn’t use composite on molars. I am super apprehensive about going to the dentist as it is and would rather have joint reconstruction again (seriously!)I have my first cavity right now in almost a decade and I am refusing to go in. I don;t know what to do. Al these dentists in my city (which is a capitol city) are supposed to be good here but I am finding they are not as they are all fresh out of med school/dental school as i am finding this area is a springboard for people to screw up and get their feet wet before moving on to the big jobs.
    What do I do? Go to an endo at this point to see someone with experience and make sure they have been practicing at least ten years?

  21. carmela

    Dear Dr. Chris,
    On Christmas eve I had the amalgam filling removed and replaced with a white filling on tooth #18. As soon as the novacaine wore off I had severe pain. Dentist prescribed clindamaycin 300mg every 6 hours. She said that the matrix band cut into my gum behind the tooth. I took the antibiotic for 7 days then had very bad side effects. Its now 14 hour’s off the antibiotic and the pain is back. I cannot brush that tooth because my gum is so sensitive and it bleeds. Do I need more antibiotics? I have been also rinsing with warm salt water. Any help would be great….I’m at the end of my rope. Thank you

  22. trisha

    I had four white fillings put in 3 weeks ago and they are still hurting so bad. The pain is come and go, i went back to my dentist amd she said everything was fine. She also said if it doesnt stop in another 1, i may need extra work done.. what do you think??

  23. G Greene

    I went to the dentist about 7 weeks ago because I had a molar that was sensitive to cold. Turns out I had a deep cavity which was then filled with a composite filling. However, I’ve noticed the tooth is still sensitive to cold. It’s usually just when I eat something really cold or place something like my tongue on it that’s really cold, and it’s sensitive for a second than it goes away. I am wondering if this is something I should be concerned about or will it eventually get better? I don’t want to have to get a root canal.

  24. Patty

    I had had silver fillings placed in Teeth #2, #3, and #31 about 10 years ago. I was told recently that they would need replaced eventually to prevent the teeth from cracking. I went ahead and had them replaced with composite filling. It’s been 5 weeks now and was told by the dentist who redid them that I would be sensitive up to 6 weeks after. However, my whole right side aches so I am taking Advil (prescribed by another dentist due to the fact that she thought it was just swelling and causing the nerve to be sensitive). But my main problem is that I am having severe cold sensitivity in Tooth # 30. What does this mean since it wasn’t even one they worked on but next to one that they did? I don’t have any pain when I eat normally but its the cold that is horrible.

  25. nick

    I had to get a filling taken out then refilled on friday because part of the tooth broke. I had 2 shots of novicane. Later friday evening I experienced some pain once the novicane wore off, but that slowly went away. It is now 5 days later and everyday, on and off I feel a slight throbbing achey pain. It also becomes sensitive when I eat or drink cold or hot beverages. I have the white filling. I have had fillings done before and had never experience thins lingering throbbing.
    Please let me know if this is normal.

    Thanks!

  26. hahndds

    Dear Nick,

    Sounds like there may be a fracture in your tooth…did it have an old silver mercury filling? Those are notorious for cracking teeth…and since your tooth broke once already when the fillings was being placed there is a good chance it has more cracks.
    So, no, it is not normal and I hope you can go back and have the tooth looked at again…it may require a more extensive restoration.

    Keep smiling,

    Dr. Chris

  27. hahndds

    Dear Patty,

    Tough call…cold sensitivity from a tooth or a filling where there was no cold sensitivity before can be due to several things…

    The article you posted under describes the reasons :)

    Most likely in your case is that the bonding procedure is flawed – too much shrinkage of the composite, bad bonding technique, or the bite is off and irritating the tooth.

    I would ask the dentist to look at it and do some tests. It should not hurt for 6 weeks!!!!!!!

    Keep smiling,

    Dr. Chris

  28. hahndds

    Dear G Greene,

    Sounds like the cavity was pretty big and a little sensitivity can be normal….for a while. If it does not go away after a few weeks then I would talk to my dentist. It could be a bonding issue most likely then.

    Keep smiling,

    Dr. Chris

  29. hahndds

    Dear Trisha,

    White fillings are great when placed correctly. I do not know much about your situation but the teeth should be feeling better….if your dentist is not able to help then maybe you need to get a second opinion prior to having them work on you again!

    Keep smiling,

    Dr. Chris

  30. Rod

    Hi Dr. Chris,
    A couple years ago I was a bit concerned with my amalgam fillings and considered getting them replaced with composite fillings. My dentist figured I should keep them in plce until they actually need to come out. My fiance recommended I see their dentist for a second opinion and reluctantly went since I trusted my dentist.
    The second dentist recommended getting all the amalgams removed since I was still young and insisted they would do a good job. Long story short, the dentist seemed a bit careless and put large fillings in all my molars, without doing any increments and it feels like the fillings are squeezing my molars together and I deal with quite a bit of pain that goes into my jaw fairly often.
    If I may invite your opinion, what do you think should be my next stp in trying to correct this situation, I fear I might be needing some root canals in the very near future or at least crowns.
    Thanks for your time!

    Kind Regards
    Rod

  31. Lisa

    A piece of my second to last bottom tooth broke off on a saturday, but I had no pain. I went into the dentist on Monday, and he gave me what he referred to as a “temporary filling” which appears to be white in color. Again, no pain. When I woke up on Tuesday, I had intense pain with no relief from OTC pain medication, like ibuprofen. By Thursday, I was back at the dentist office, wondering if I had an infection of some sort. A different dentist looked and said the temporary filling was set a bit high and filed it down, which gave a bit of relief while in the chair, but I have yet to get any real relief, in fact the pain is getting worse. I was given antibotics in case of an infection, but it doesn’t seem to be doing anything to help offset the pain. I believe I may have had a silver filling in this tooth back in the 80s or 90s. I am hoping I will not a root canal, but the second dentist said I would need either a root canal or to remove the tooth completely. This all seems so drastic and yet I had no pain until they touched me! What are your thoughts?

  32. hahndds

    Dear Lisa,

    It sounds like the temporary filling may have been a tad high but the underlying problem most likely is just like you said….the wonderful old silver mercury filling that cracked the tooth.
    I would talk to your dentist about getting some sort of cuspal coverage restoration as soon as possible. There is a chance the tooth is cracked in which case a root canal is not a good option….

    Sincerely,

    Dr. Chris

  33. hahndds

    Dear Rod,

    Have you spoken to your dentist? A simple bite adjustment may be all that is needed. Amalgam does crack teeth so if the dentist finds symptoms of a fracture then you will need a crown. I am of the opinion that the sooner you remove amalgams the better. Not all dentists agree with me (at least not in this country) but that is fine :)

    Keep smiling,

    Dr. Chris

  34. Mohamed

    Hi Dr. Chris

    My right lower molar has broke I went to the dentist and he told me that I had a decay from the side which cause it to break (it had no other fillings before). he cleaned it and installed a Composite filing and did a bit adjustment and it feels right but after the novicane has worn off, my tooth started to hurt a little but it does hurt when chewing anything that is semi hard or hard. it’s been like that for 2 days so far. it’s not sensitive when I eat either hot and cold things. I don’t want to do root canal.

    what are your thoughts?

    Thanks much in advance
    Cheers!

  35. mandy

    Hello, I have a question. A few weeks ago I had a terrible toothache and went in for a filling on #12. The dentist said it was a deep one but all went without incident and it felt much better when it was done. It has felt fine since I had it filled but now within the last few days the tooth has been a bit sensitive. Not to hot or cold but it feels funny when I tap on the tooth. Its not necessarily painful, it reminds me of the pressure when I had braces first put on years ago where it almost felt good to push my teeth together, if that makes sense. Ive read about the possibility that the filling could be too high but i think my bite feels ok. Any idea what is causing this? Really hoping I don’t need a root canal…

  36. Susan

    Hi, thank you for being here for people. Am very concerned, had two back to back molars bottem left worked on. Silver fillings replaced with composite. Never had pain in those teeth, am 44 yrs. old. Since numbing medicine wore off, very painful nerve pain whenever I try to chew. After three days went back to dentist, was told maybe composite didn’t fully cure so he had his assistant apply the bonding light to teeth again. My question is, is this harmful to my teeth and can the composite still be hardened days later, and does this damage the filling?

  37. Susan

    Also: forgot to mention that the teeth on left lower side are now very sensitive and painful when chewing cold food, have to stop chewing, this never occurred before filling replacement.

  38. Lori H.

    Hello Dr. Chris,

    I had a small fracture in the last molar on the lower left side of my mouth. I started having sharp shooting pain in my jaw, and went to the dentist for what I thought might be an extraction. It was a tooth that had an Amalgam filling in it. She showed me the X-Ray and said there was no decay beneath the tooth. I could see that there was a small amount of tooth missing as was visible to me, anyway. She said she would do a treatment and put in a pulp cap and fill it with the goal to keep the tooth from having to be removed. It is 2 days after the surgery and I am in more pain than I originally was. I called the dentist and she ordered Amoxicillin to “calm the pain down.” The gum around the tooth looks swollen to me and the tooth feels “tight” or too packed. What should be my next step to resolve this issue? I am willing to have the extraction, if it’ll save me from all this pain and inconvenience of taking up time going back and forward with it.

  39. shea

    Hello Dr.
    Today I went in and had 5 fillings done on the right side of my mouth. Everything was going good until the Doctor started on my two lower cavities. I instantly had pain during and after she was finished. She made sure my bite and all the edges were fine and nothing was uncomfortable. But even after she finished my tooth ached and has ached for a few hours consistently. It’s a constant pain, that’s what worries me… because previous to my visit my tooth had no pain. It aches and is pretty hard to bare. .. your thoughts would be greatly appreciated!
    Thanks

  40. Dr. Chris

    Thank you Shea for your question. Please visit my new podcast on Drill The Dentist to see your answer! I am trying to answer most if not all questions once a week. I hope I will be able to help you.

    Keep Smiling,

    Dr. Chris

  41. Dr. Chris

    Thank you Mohamed for your question. Please visit my new podcast on Drill The Dentist http://www.drillthedentist.com to see your answer! I am trying to answer most if not all questions once a week. I hope I will be able to help you.

    Keep Smiling,

    Dr. Chris

  42. Dr. Chris

    Thank you Mandy for your question. Please visit my new podcast on Drill The Dentist http://www.drillthedentist.com to see your answer! I am trying to answer most if not all questions once a week. I hope I will be able to help you.

    Keep Smiling,

    Dr. Chris

  43. Dr. Chris

    Thank you Lori for your question. Please visit my new podcast on Drill The Dentist http://www.drillthedentist.com to see your answer! I am trying to answer most if not all questions once a week. I hope I will be able to help you.

    Keep Smiling,

    Dr. Chris

  44. Dr. Chris

    Thank you Susan for your question. Please visit my new podcast on Drill The Dentist http://www.drillthedentist.com to see your answer! I am trying to answer most if not all questions once a week. I hope I will be able to help you.

    Keep Smiling,

    Dr. Chris

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