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Why Do My Fillings Hurt When I Eat?

by Nadia Jaouhari

Dental fillings are essential for restoring teeth that have been damaged by decay or trauma. They help protect the tooth from further damage and restore its function. However, many patients experience discomfort or pain when eating after getting fillings. This article will explore the reasons why fillings may hurt when you eat, what you can do about it, and when to consult your dentist.

Understanding Dental Fillings

Before discussing the reasons for pain associated with fillings, it is essential to understand what dental fillings are and their purpose.

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What Are Dental Fillings?

Dental fillings are materials used to fill cavities in teeth caused by decay. When a dentist removes the decayed portion of a tooth, they fill the space with a material that restores the tooth’s shape and function. Fillings help prevent further decay and protect the tooth from sensitivity and pain.

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Types of Dental Filling Materials

There are several types of materials used for dental fillings, each with its characteristics:

Amalgam Fillings: Made from a mixture of metals, including silver, mercury, copper, and tin. Amalgam fillings are durable and often used for back teeth.

Composite Resin Fillings: Made from a mixture of plastic and glass. Composite fillings can be matched to the color of your teeth, making them a popular choice for visible areas.

Gold Fillings: Made from a gold alloy, these fillings are very durable but can be expensive and require multiple visits to place.

Porcelain Fillings: Also known as inlays or onlays, these are made from porcelain and can be customized to match the color of your teeth.

Why Do My Fillings Hurt When I Eat?

If you are experiencing pain when eating with fillings, there could be several reasons for this discomfort. Let’s explore some of the most common causes.

1. Recent Filling Placement

If you have recently had a filling placed, it is common to experience some sensitivity. This sensitivity can occur for several reasons:

Nerve Irritation: The process of placing a filling involves drilling into the tooth, which can irritate the nerves. This irritation may cause discomfort when you bite down or eat hot or cold foods.

Inflammation: After a filling is placed, the surrounding tissues may become inflamed. This inflammation can lead to temporary pain or sensitivity.

2. High Fillings

Improper Occlusion: If the filling is too high, it can create an improper bite. This means that when you bite down, the filled tooth may hit before the other teeth, causing discomfort.

Biting Pressure: When you chew, the pressure on the filled tooth can lead to pain if the filling is not properly adjusted. This issue is often resolved by having the dentist adjust the filling.

3. Tooth Sensitivity

General Tooth Sensitivity: Some people have naturally sensitive teeth. If you have sensitive teeth, you may experience discomfort when eating, especially with hot, cold, or sweet foods.

Exposed Dentin: If the filling is not deep enough or if there is still decay present, the dentin (the layer beneath the enamel) may be exposed, leading to sensitivity.

4. Decay Around the Filling

New Cavities: If decay develops around the edges of the filling, it can lead to pain when eating. This is often due to poor oral hygiene or the filling wearing down over time.

Microleakage: Over time, fillings can develop tiny gaps where bacteria can enter, leading to new decay. This can cause pain when eating.

5. Filling Material Reaction

Material Sensitivity: Some patients may have a sensitivity or allergic reaction to the materials used in their fillings. This reaction can cause discomfort when eating.

Composite Fillings: If you have composite fillings, they may be more prone to temperature sensitivity than amalgam fillings. This can lead to pain when consuming hot or cold foods.

6. Gum Issues

Gum Inflammation: If your gums are inflamed or infected, it can cause pain when eating. This inflammation may be due to gum disease, poor oral hygiene, or irritation from the filling.

Receding Gums: If your gums have receded, the roots of your teeth may be exposed, leading to increased sensitivity and pain when eating.

7. Cracked or Fractured Tooth

Tooth Damage: If the tooth that has the filling is cracked or fractured, it can cause pain when chewing. This damage may occur due to trauma, excessive biting force, or underlying decay.

Fractured Filling: If the filling itself is cracked or damaged, it can lead to pain and discomfort when eating.

What Can You Do About It?

If you are experiencing pain when eating with fillings, there are several steps you can take to address the issue.

1. Wait and Monitor

Post-Filling Sensitivity: If your filling was placed recently, it may take some time for the sensitivity to subside. Monitor the pain for a few days, and if it persists or worsens, consult your dentist.

2. Adjust Your Diet

Avoid Trigger Foods: If certain foods are causing pain, try to avoid them until you can see your dentist. Common triggers include:

  • Hot or cold foods
  • Hard or crunchy foods
  • Sugary snacks

3. Use Desensitizing Toothpaste

Sensitivity Relief: Over-the-counter desensitizing toothpaste can help reduce sensitivity. These products contain compounds that block the transmission of pain signals from the tooth surface to the nerve.

4. Maintain Good Oral Hygiene

Preventing Decay: Good oral hygiene is crucial for preventing decay around fillings. Brush your teeth at least twice a day with fluoride toothpaste and floss daily.

5. Schedule a Dental Appointment

Consult Your Dentist: If the pain persists, it is essential to consult your dentist. They can evaluate the filling and determine the cause of your discomfort.

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

Check for Decay: Your dentist can check for any new decay around the filling and recommend appropriate treatment.

When to Seek Immediate Care

While some discomfort is normal after getting a filling, there are situations where you should seek immediate dental care.

These include:

1. Severe Pain

Intense Pain: If you experience severe, persistent pain that does not improve with over-the-counter pain relief, contact your dentist.

2. Swelling or Infection Signs

Signs of Infection: If you notice swelling in your gums or face, or if you have a fever, these may be signs of an infection that requires immediate attention.

3. Filling Loss

Filling Dislodged: If your filling falls out or becomes loose, schedule an appointment right away. Leaving a tooth exposed can lead to further decay and pain.

Conclusion

Experiencing pain when eating with dental fillings can be concerning. The discomfort may arise from various factors, including recent filling placement, high fillings, tooth sensitivity, decay around the filling, material reactions, gum issues, or cracked teeth.

If you encounter pain, it is essential to monitor the situation and take appropriate steps, such as adjusting your diet and maintaining good oral hygiene. If the pain persists or worsens, consult your dentist for an evaluation and necessary adjustments.

Remember, taking care of your dental health is crucial for a bright and confident smile. Regular dental checkups and good oral hygiene practices can help prevent issues with fillings and ensure your teeth remain healthy for years to come.

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