Reasons of Tooth Ache or Pain after Dental Filling

There can be numerous reasons for a patient to have pain after getting dental filling. The reasons for having tooth pain after dental filling can vary from high dental filling for various other reasons. These can reasons for having pain after dental filling are discussed as under.

Tooth Pain due to High Dental Filling

The toothache could be a result of the high dental filling. The periodontal ligament is what supports the tooth by means of binding it to the bone.  When the filling is too high, the tooth gets compressed downwards and is subjected to a lot more pressure. This goes on to make the ligaments tender.

 

When the tissues in our body are put through stress they tend to get tender. If you work in the hot sun in the garden for a long time then your hands are bound to have strained ligaments and tissues. The extra blood that gets pumped into your hand will allow it to heal the strained ligaments and this makes them appear red and swollen. This is the exact thing that is experienced by the periodontal ligament when it gets compressed much more than usual due to a high filling. The terminology used for these medical phenomena is Symptomatic Apical Periodontitis or Acute Apical Periodontitis.

When the periodontal ligament widens and gets larger it tends to become red and inflamed.  That creates pain when you have a high filling.

Stopping Pain Caused by Symptomatic Apical Periodontitis

If you want to go ahead and stop the pain, then what you need to do is to remove the thing that causes pain. The moment you feel any kind of pain in your tooth the first thing that you should think of is calling the dentist.  If you find that the pain persists then you need to ask your dentist to check the bite. This will allow you to be able to ensure that the filling is of the right size. If not then the filling will be ground down to the right size.

How long will the pain after filling will persist?

The first thing that the dentist needs to do is to size the filling and in order to do that they need to ground it down. Thereafter, the periodontal ligament will need some time to heal itself from the trauma that it has undergone.

The healing process usually takes about two weeks. After two weeks if the pain still persists then you do need to visit the dentist as this is a clear sign of something being wrong with your teeth. Then, the dentist needs to further ascertain and find out.

There are several folks who might have Symptomatic Apical Periodontitis because of the filling being too high. This is when they need to go back to the dentist and have it set right. Once the filling is the right size they will certainly have no pain and feel better.

There are people who hold back from calling their dentist. However, if you are not comfortable with the filling or need it to be re-sized then you need not feel embarrassed about voicing it to them.

Tooth hurts after a White filling or Composite Dental Filling

The first thing that is noticeable is that the filling should fit just right and your tooth shouldn’t hurt. If the pain persists then you need to go to the dentist and find out the reasons. The white filling can result in pain in the tooth for several reasons which are:

Polymerization Shrinkage of a Composite or White Dental Filling

Composites or white fillings tend to shrink a wee bit when they harden.  That is the reason why the dentist will place the material into the cavity in a liquid or pasty form. Then they will use a strong light like LED or Halogen which will help to immediately harden the material.  Now, in case the composite material is not placed correctly in the tooth and especially in the case of a composite filling then it will shrink to result in a gap that goes on to form around the filling. It could even pull the tooth together.  This will further result in the tooth becoming sensitive to hot and cold.

What if the Composite used is way too large?

The way composite fillings work is to be really good materials for small fillings. The moment the filling becomes larger, such as 1/3 the distance, between the cusps or more than 2 surfaces it is not strong enough.

Composite material is not made to be strong enough to work like tooth structure.  If a composite is used for the large filling then it will result in the tooth bending, the composite will wear off or have a fracture, and finally it will result in a failure of the filling treatment.  This in turn will require further treatment that is of a longer duration.  

How to Increase the Life of Dental Filling

There are a few kinds of fillings that can last for a real long time. However, usually an amalgam filling has a lifespan of about 12 years and that of a composite filling is less than that.

The first visit to a dentist will entail a thorough examination of your fillings. This is usually done at every checkup visit. In case the dentist suspects a crack, leak or something amiss in the filling then you might be advised an X-ray.

When is it the right time to visit the dentist?

  • Sensitivity in the tooth
  • A crack in the tooth
  • The filling has fallen off

A good idea is to go to a dentist frequently for cleanings, brush with a fluoride toothpaste, and floss once a day to ensure that you are able to increase the lifespan of your fillings.

In case of several fillings or very large fillings, your dentist may recommend that you go ahead and use a fluoride gel. The fluoride gel when used at home will enable in strengthening the teeth enamel. This will serve as a safety net for you against any future cavities. There is another way to protect your teeth and that is with the application of fluoride varnish around the edges of these teeth at your dental checkups.

Replacing a Filling

When you need to have a filling replaced the first thing is the discussion with the dentist about the possible treatment options that are available to you and their outcomes. You can go on and let the dentist evaluate the cavity and what kind of filling it will need. Also, you will be able to discuss the right material for your kind of filling.

 

 User Comments on -  Reasons of Tooth Ache or Pain after Dental Filling


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Posted By : Dr. Rtiz on 26-May-2013 09:41 AM

CJ, If the symptoms are subsiding with time then you can wait for another week or two otherwise you may also have to under root canal treatment for the tooth.

 


Posted By : CJ on 24-May-2013 08:38 AM
Hi. I have the same problem as Boopie. Had a filling replaced and new one on reae right side. Went back to dentist he shaved a portion at week 2 was told muscle maybe site take aleve. My Jaw still hurts when I stretch tooth only little sensitive.
 


Posted By : Dr. Rtiz on 03-Apr-2013 08:25 PM
Hi Boopie, If sensitivity and pain is there then it can be due to some decay or may be some gum problem as cleaning the third molar area is difficult. You have to go to dentist and get is examined. Sometimes if gum problem is there and decay is not there even then sensitivity and pain is there, when we take something hot n cold as roots are exposed
 


Posted By : boopie on 03-Apr-2013 08:17 AM
I recently had 2 filling done on my rigth side, it's been about 2-3 weeks already ... i decided to go in to see the dentist and he took x-rays and said he dosent see anything , i told him my jaw hurst when i open it and sometimes i get pain in my teeth ... dentist said he saw nothing on the x-rays ??? is this normal
 


Posted By : Dr.Ritz on 05-Mar-2013 03:05 AM

It looks that the filling was very deep and it is quite close to the pulp. That is why you are having the sensitivity or that filling is high. If after 2 weeks also you are having pain then go to the dentist and discuss with him. He will do the X-ray and if the filling is very deep then may be you have to get the root canal treatment done on that tooth.

 


Posted By : Dr.Ritz on 05-Mar-2013 02:57 AM

No , if the pain is there even after 2 weeks of filling and still the swelling is there then it is not normal. May be some tooth is infected or it can be because of the high filling. Visit your dentist and find out the cause of the pain and swelling.

 


Posted By : christina on 03-Mar-2013 09:59 AM
Hi I had 4 cavity's filled on the right top side and one was really big I guess and I went back and they adjusted my bite but i received 2 more fillings that day on the lower right side so my bite is still off and the throbbing is still there. Its going on two weeks now and the pain has gone into my cheek bone and the right side of my tongue is swell. does this sound normal?
 


Posted By : Charles on 27-Feb-2013 08:26 PM
Hi, my old fillings started to break down, so I needed to get them replaced with white fillings. I've gotten 2 the 1 was pretty deep and took some drilling, a week later I get my other one, but the first one still hurted. The 2 one was quick took a little bit of drilling and it doesn't hurt right now. But the 1st one is still in pain, constant but not that bad. Everything time I drink something cold it hurts really bad. And I got that filling 2 weeks ago. Is it normal to have a constant toothache?
 


Posted By : Dr.Ritz on 04-Feb-2013 11:13 PM

Yes, it looks like the tooth is healing. As the pain is decreasing. You can wait for another week. Because of the high filling the tooth is traumatized and it will take some time for the tissues to heal. Till then avoid eating any thing hard from that side and maintain very good oral hygiene.

 


Posted By : Nicki on 03-Feb-2013 06:28 AM
Hi, I had a large filling 3 weeks ago. 6 days ago I went back to get it reshaped as it was giving me sharp shooting pains and was too high. As soon as the dentist did this, it felt a million times better. But I still get the shooting pain sometimes, usually when I eat something hot, it's not as intense and is now bearable. Shall I still wait another week before returning to the dentist? I think it must be healing as the pain comes less often and less intense, am I right to wait?
 


Posted By : Dr.Ritz on 30-Dec-2012 10:50 PM

Hi SIMON,When tooth filling is performed, there are chances that the tooth pulp may experience sudden shock and this can be a cause of severe tooth pain after filling. Tooth pain after cavity filling might suggest that the inner tissues are not much healthy as they were thought to be at the beginning of the tooth filling.If this sort of toothache after filling persists,then root canal is suggested.There are several desensitizing toothpastes available that might be more than useful as well. A regular follow-up after the tooth filling is very important here to avoid prolonged tooth pain after filling! Take care!

 


Posted By : Simon on 29-Dec-2012 03:44 PM
A toothache (not perfectly localized like a specific tooth) sent me to the dentist and a filing at the site was expanding or coming out or something so he replaced it. Since then I have had pain (again, not highly localized) that responds well to Ibuprofen and would often be pain free after the tablets would have worn off. For a few days I would only get pain before bedtime. Now it seems more common and often I need the tabs after again when they wear off. I don't have any *immediate* sensitivity to cold, hot or biting but I sometimes think it may bring on a slow build of a pain episode. It is like slowly having the pain knob dialled up then down several times until it becomes pill worthy. I'm going to try to get an x-ray on Monday. Does it sound like it might be a root canal candidate? The filling was somewhat deep.
 


Posted By : Dr.Ritz on 24-Sep-2012 11:45 PM

Hi SARAH,Pain 1 month after completion of root canal treatment can be because of infection in root canal treated tooth.If there is infection still left after root canal then re-root canal treatment is done. You can do warm saline rinses for some relief.You can avoid eating from this side of tooth and make sue that there are no food deposits around dental crown.Use an interdental brush in area of dental crown to avoid food accumulation in that area. To decrease the sensitivity in your filled tooth,you can try to clean your teeth with a special toothpaste for sensitive teeth.It is also good to avoid eating hard and crunchy things,like nuts on the side where you have had the amalgam filling.The filling will settle down in a few days.Don't worry.

 


Posted By : Sarah on 24-Sep-2012 07:29 AM
I went to the dentist and had a root canal and crown about 1 month ago, then went back for a filling two weeks ago. I am having pain in the root canal, like a throbbing after eating and it feels like things can get under the crown after I eat. I told the dentist and he looked at it then gave antibiotics, saying there could have been a lingering infection. I am done with antibiotics and still have pain now. The tooth that I had filled (amalgam) has sensitivity to cold and I can't chew on it because after I do, I will have pain. Are these things normal? Does it take time for it to heal?
 


Posted By : Dr.Ritz on 23-Sep-2012 09:26 PM

Hi AMANDA,You don't need to worry too much. Pain and sensitivity will be there for initial couple of days.Reason being,filling takes some time to set.So,it is advised not to eat anything too solid,too hot or too cold,specially from that tooth.Brush properly twice daily and do warm saline gargles two to three times daily.You can also use anti-sensitive tooth paste while brushing.If the pain and sensitivity persists for a long time or worsens,then it is advised to visit a dentist.I hope that helps.Let me know if you have any other problems.Thanks for your comment.

 


Posted By : Amanda on 23-Sep-2012 08:53 AM
I had a very big cavity filled five days ago. I was prescribed painkillers and antibiotics because the pain was pretty bad in the beginning. Since then, I either feel no pain at all or a fairly intense pain. I am not super sensitive to hot or cold foods and I have no discomfort from biting down. I really don't want an extraction or root canal. Is it a bad sign if the pain comes and goes? The pain causes a throbbing feeling on the side with the tooth. Thank you!
 


Posted By : Claire B on 12-Sep-2012 04:31 AM
I think the receptionist/ proprieter is thinking I am complaining for no reason as she has read my notes and it says that I have been warned I may have pain. I didn't have time to say just how much pain I'm having as she told me she would ring back in five minutes and that was twenty minutes ago. I'm not a complainer. I haven't complained at dentists ever before. She just rang me and has managed to fit me in at 15:10 tomorrow. You don't have to post or reply, I just wanted to vent, lol. Thanks for listening.
 


Posted By : Claire B on 12-Sep-2012 03:48 AM
Thank you very much for your reply. I am still in a lot of pain. It has worsened as the ibuprofen takes the edge off for only half an hour or so. I will go into the dentists this afternoon and tell them. Thanks again for taking the time to help me.
 


Posted By : Dr.Ritz on 11-Sep-2012 11:23 PM

Dear CLAIRE,As your tooth hurts constantly, that could be a sign that the filling was pretty close to the nerve of the tooth. When your dentist went in to place it, it probably traumatized the nerve a little more than it could handle. Since your dentist also mentioned that the filling is close to the nerve, I am guessing that this is what happened and you are now showing the signs of irreversible pulpitis.If the pain ends up not going away or it gets worse, then you may end up needing a root canal.You should visit your dentist as soon as possible. Your dentist will be able to take an x-ray to let you know how the nerve is doing.Thanks for your comment.Let me know if you have any other questions.Hopefully you'll be out of pain soon!

 


Posted By : Dr.Ritz on 11-Sep-2012 10:57 PM

Dear JULIE,You don't need to worry too much.Pain and sensitivity will be there for initial couple of days.Reason being, filling takes some time to set.Give it time to heal and the filling will settle down.Since you experience pain everytime you chew,you need to check with the dentist for the right size of the filling. The reason this occurs is that every time you bite you actually put your teeth through get turmoil.Your dentist would smoothen the filling. The dentist might advise you to use a sensitive tooth paste or put on a desensitizing agent on the tooth.After all of this, if the pain still persists then all that you can do is to have a root canal treatment done to get rid of the pain after the filing.Let me know if you have any other queries.Thanks for your comment.

 


Posted By : Claire B on 11-Sep-2012 04:47 AM
It was a white filling I think. Where the light is used to harden it by the way. :)
 


Posted By : Claire B on 11-Sep-2012 04:42 AM
I was advised by my dentist to have a tooth filled - left side, the back one - and yesterday at 3pm went to have it done. I really don't mind injection s as I'd much rather go without the pain. He ended up injecting 4 or 5 times to stop the pain. He said afterwards that I may get some pain after with the filling being so close to the nerve. The injections were still working at about 6:30pm, I took a couple of paracetamols at 7:30pm and it was hurting last night took more paracetamols at 11:30pm last night. This morning it has been hurting have just taken some ibuprofen also. It doesn't seem to hurt that much when I bite down on that side but my whole cheek area is hurting, almost throbbing. The pain seems to be reaching my left eye and into my left ear. Is this normal? The pain is almost like I had a couple of years ago with a really bad abcess on that side that made me feel like lying down and dying. I sound like a bit of a drama queen but I usually don't feel that bothered about pain and brush the odd burn or bang off without comment.
 


Posted By : Julie on 11-Sep-2012 01:30 AM
Dear dr. I hope this come to you, but i got my 2 teeths done 10 days ago, everytime i chew anything even it's soft i feel really painful like i want to removed it. Is it becuase they didnt clean my teeth good before fill it in? Should i go back check with the doctor or how much i should wait until i go back to see if it heal? Please respone (
 


Posted By : Dr.Ritz on 10-Sep-2012 10:14 PM

Dear STACEY,I can understand your situation quite well.Don't Worry.Some pain after dental filling is normal. It takes 2-3 days for filling to settle. If filling is close to nerve or in case of high point on dental filling, severe pain or pain occurs for long duration of time. If pain is severe, then you can visit your dentist for evaluation. If there is some high point on dental filling,then it can be smoothened by your dentist and if dental filling is close to nerve, then root canal treatment may also be required. By the time, you visit your dentist, you can avoid eating from side of filled tooth.If root canal treatment is required,consult your obstetrician.If possible,postpone root canal treatment until the birth of the child.

 


Posted By : Stacey on 10-Sep-2012 04:35 AM
Hello , I've just went to the dentist after being up all night in pain , he said half my filling came out and filled it back in, but I am still in so much pain a hour later, I am 36weeks pregnant so it was done with out a injection could this be y it still hurts?
 

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