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Why Are My Fillings So Sensitive?

by Nadia Jaouhari

Dental fillings are a common solution for treating cavities and restoring the function of damaged teeth. While many people expect some sensitivity after getting a filling, ongoing or severe sensitivity can be concerning. In this article, we will explore the reasons why fillings can be sensitive, what you can do to manage this sensitivity, and how to prevent it in the future.

Reasons for Sensitivity After Fillings

1. Normal Post-Operative Sensitivity

It is common to experience some sensitivity after getting a filling. This sensitivity is usually temporary and can last for a few days to a couple of weeks. It may result from the following factors:

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Nerve Irritation: The dental procedure can irritate the nerves in the tooth, leading to temporary sensitivity.

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Inflammation: The process of removing decay and placing a filling can cause inflammation in the surrounding tissue.

2. Type of Filling Material

Different filling materials can cause varying levels of sensitivity. Some materials are more likely to cause discomfort than others. For example:

Composite Resins: These materials can sometimes cause more sensitivity due to the chemical reaction that occurs during the curing process.

Amalgam Fillings: While generally durable, amalgam can also lead to sensitivity, especially if the filling is large.

3. High Fillings

If a filling is placed too high, it can create an uneven bite. This can lead to discomfort and sensitivity when chewing. Signs of a high filling include:

Uneven Pressure: You may feel more pressure on the filled tooth when biting down.

Pain: Pain or discomfort when chewing can indicate that the filling needs adjustment.

4. Tooth Sensitivity

Some individuals naturally have sensitive teeth. If you have a history of tooth sensitivity, you may experience increased sensitivity after getting a filling. Factors that contribute to tooth sensitivity include:

Gum Recession: When gums recede, the sensitive root surface of the tooth can be exposed.

Enamel Erosion: Worn enamel can lead to sensitivity to hot and cold temperatures.

5. Underlying Decay

If there is decay present under the filling, it can cause pain and sensitivity. This situation may arise if the filling does not seal properly, allowing bacteria to enter. Signs of underlying decay include:

Increased Pain: Pain that worsens over time may indicate decay beneath the filling.

Sensitivity to Temperature: Increased sensitivity to hot or cold can also be a sign of underlying issues.

6. Gum Disease

Gum disease can lead to sensitivity, especially around filled teeth. Inflammation and infection in the gums can cause discomfort. Signs of gum disease include:

Swollen Gums: Red, swollen gums around the affected tooth.

Bleeding: Gums that bleed when brushing or flossing.

7. Allergic Reactions

In rare cases, patients may have an allergic reaction to the materials used in dental fillings. This can lead to inflammation and sensitivity. Symptoms of an allergic reaction may include:

Swelling: Swelling around the filling or the gum tissue.

Rash: A rash or irritation in the mouth.

What to Do If Your Fillings Are Sensitive

1. Contact Your Dentist

If you experience persistent sensitivity after getting a filling, it is essential to contact your dentist. They can evaluate the situation and determine the best course of action. Possible solutions may include:

Adjusting the Filling: If the filling is too high, your dentist can adjust it to ensure a proper bite.

Replacing the Filling: If there is an issue with the filling material or underlying decay, your dentist may recommend replacing the filling.

2. Manage Sensitivity at Home

While waiting for your dental appointment, there are several ways to manage sensitivity at home:

Use Sensitivity Toothpaste: Toothpaste designed for sensitive teeth can help alleviate discomfort.

Avoid Trigger Foods: Stay away from hot, cold, or sweet foods that may exacerbate sensitivity.

Over-the-Counter Pain Relief: Non-prescription pain relief medications can help manage discomfort temporarily.

3. Maintain Good Oral Hygiene

Good oral hygiene is crucial for managing sensitivity and preventing further issues. This includes:

Brushing: Brush your teeth at least twice a day with fluoride toothpaste.

Flossing: Floss daily to remove plaque and food particles from between teeth.

Rinsing: Use an antibacterial mouthwash to help reduce plaque buildup.

4. Consider a Mouthguard

If you grind your teeth at night (bruxism), consider getting a mouthguard. This custom-made appliance can help protect your teeth and fillings from excessive pressure.

Preventing Sensitivity After Fillings

1. Choose an Experienced Dentist

Selecting a skilled and experienced dentist can minimize the risk of complications after a filling. Look for a dentist with good reviews and a reputation for quality care. An experienced dentist is more likely to ensure that the filling is placed correctly and that the bite is adjusted properly.

2. Follow Post-Operative Instructions

After receiving a filling, follow any post-operative instructions provided by your dentist. This may include dietary restrictions and oral hygiene practices to help ensure the filling stays in place and minimizes sensitivity.

3. Schedule Regular Check-Ups

Regular dental check-ups are essential for maintaining oral health. During these visits, your dentist can monitor the condition of your fillings and address any concerns promptly.

4. Avoid Hard and Sticky Foods

To protect your fillings and reduce the risk of sensitivity, avoid hard or sticky foods that can put extra pressure on them. Foods like hard candies, ice, and sticky sweets can increase the risk of fillings loosening or causing discomfort.

5. Maintain Good Oral Hygiene

Good oral hygiene practices can help prevent cavities and the need for fillings. This includes:

Brushing: Brush your teeth at least twice a day with fluoride toothpaste.

Flossing: Floss daily to remove plaque and food particles from between teeth.

Rinsing: Use an antibacterial mouthwash to help reduce plaque buildup.

Conclusion

Experiencing sensitivity after getting a dental filling can be frustrating and concerning. Understanding the potential causes of this sensitivity is essential for addressing it effectively. Whether the sensitivity is due to normal post-operative reactions, the type of filling material, or underlying issues, contacting your dentist is the best course of action.

By maintaining good oral hygiene and following your dentist’s advice, you can minimize the risk of complications after receiving a filling. Remember, your dentist is your best resource for addressing any concerns related to dental fillings and maintaining your overall oral health. If you have questions or experience ongoing sensitivity with your fillings, do not hesitate to reach out to your dental professional for guidance and care.

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