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.Ritz on 21-May-2012 02:27 AM
SYMA, since four days have passed and you are still experiencing pain so i would suggest you to visit the dentist as you may be requiring a RCT. Getting deeply carious tooth filled is accompanied with pain and sensitivity for initial few days like 2-3 days. This is because of the irritation to nerves. For time being, you take some precautionary measures like not chewing anything from the treated area and abstain yourself from eating anything that hurts.
 


Posted By : syma on 19-May-2012 06:04 PM
i had four fillings in my teeth on the right side,two up n two down ,doctor injected me four times during the treatment .one filling down was a big one n was close to roots but doctor filled it as to check if it works. now fter four days of my fillings i am having severe pain in my whole right side ,gums are swelled and red.when i lye down the slivia comes out of my mouth too.jaw pain is severe too. doc has gvn me antibiotics,but i am very upset as it hurts alot.how long it will take in recovery??
 


Posted By : Dr.Ritz on 16-May-2012 12:02 AM
HLIU, I suggest you to get it checked for high point as sometimes there remains a high point that can be a causitive factor for pain. If the pain is due to high point than after correction it will take some time to get relieved but if the pain still persists than you should visit the dentist and get the tooth checked for over filling (that can impinge on the gums and cause pain)
 


Posted By : hliu on 15-May-2012 10:56 PM
hello, I got fillings for two of my upper left side teeth. I experienced pain right after the felling. A week has gone by, i still feel the pain, but I only feel pain in one of the teeth. I went back to the dentist. He did an examination and x-ray. He said there were nothing wrong with my filling. Sometimes, for no explained answers, the filling gel causes teeth pain because they way it sits on my teeth. It will go away gradually. I don't feel pain when I bite down food, the pain is constantly in one tooth. I also experience sensitivity when drinking cold or hot water. Would you please let me know if that's a valid, logical answer from the dentist. Or should I go somewhere else to get a second opinion? thank you!
 


Posted By : Dr.Ritz on 15-May-2012 10:46 PM
If your tooth is not experiencing any pain or sensitivity than there are chances that the caries hasn't reached the root canals. So filling can do. But as you said that after your Dentist 1 took an Xray and found caries close to root canal so first you should go for temporary filling and see that how the healing process goes. If the pain is no longer and there is no problem linked to that tooth than its an indication that permanent filling can be done and your tooth doesn't requires RCT....So my take home advise is to consult an endodontist..
 


Posted By : Lala on 15-May-2012 06:38 AM
I went to the dentist for a filling. She drilled into my molar and discovered that the decay is deep and did an x ray. She said that the decay is in the "boundary" and is very close to the nerves and suggested I had root canal. I went to another dentist to have second opinion because I am not experiencing toothache. (No, really I had mild toothache because of an impacted wisdom tooth, but I don't experience sensitivity or something on the molar.) Then the 2nd dentist said filling can do and he put a dental composite. That was some hours ago and I don't feel any pain, just some discomfort I usually feel when I get a filling. I just feel kinda nervous because the 1st and 2nd dentist have different thoughts on it. What if the 1st dentist is right? Do I need to have an xray? I just consulted another because I don't want to undergo root canal because it's expensive, and I want to preserve much of my tooth as possible. Do I have to get 3rd, 4th, ... opinion? Or another check up? Thanks. :)
 


Posted By : Dr.Ritz on 11-May-2012 09:46 PM
PHEE, You dont need to freak out. If the filling is OK and not giving you any problems than you don't need to get your tooth extracted. Tooth extraction should be the last option if no other treatment modality isn't working. A well done filling has a good shelf life and doesnt cause any problems. In contrast,getting tooth pulled will create a space that may lead to migration of adjacent teeth.
 


Posted By : Phee on 11-May-2012 04:42 PM
I just have my tooth filling today and i am real afrait because most of people i told about are all advicing me to get the teeth extracted.
 


Posted By : Dr.Ritz on 10-May-2012 09:45 PM
IVAN, sensitivity after dental filling depends upon the size of cavity filled. If the cavity is too large than it means that it is closed to nerves and will lead to sensitivity. Now when the filling material is inserted, in the initial few time, it will be external to body and may lead to pain and sensitivity but will gradually decrease with time. So, having sensitivity after filling is normal phenomena. You may use certain home remedies for tooth ache and sensitivity like using peppermint, ice packs and ginger over the affected area.
 


Posted By : Ivan on 10-May-2012 12:04 PM
Hello - I had a white filling put in a month ago on an upper-left molar. A week ago I got another filling on the lower-left quadrant. The first filling felt absolutely fine - no problems whatsoever. After the second filling, however, the tooth with the first one began to experience pretty noticeable sensitivity. It's now been a week since my second filling and I cannot chew on the left side of my mouth at all. The first filling - that was fine for a month - is now super-sensitive. Anything I should tell my dentist at our appointment tomorrow?
 


Posted By : Dr.Ritz on 05-May-2012 02:23 AM
Twinkle,the pain can be due to many reasons. There are chances of microleakage or it can be that the carious part (infection) is still inside the tooth. so,i would suggest you to visit a dentist and get an X ray done to know the exact root cause of the pain. Till that time just keep olive with salt spread over it in the area of tooth that is hurt. It will provide you the temporary relief.
 


Posted By : Dr.Ritz on 05-May-2012 02:09 AM
Michelle, the pain and sensitivity after scaling is temporary and will go in a day or two. All you need to do it do warm saline rinses and if the problem continues than take over the counter painkiller and report to your dentist. Also you can spread a layer of toothpaste around your teeth, let it be for 15 minutes and then rinse it off. this will provide some relief.
 


Posted By : Michelle on 03-May-2012 08:35 PM
I just got my tooth filled today and a scalling its been about 12 hours and i have a sharp pain shooting through my jaw constantly .
 


Posted By : twinkle on 03-May-2012 05:39 AM
the dentist did filling in 6 of my teeth, and it didn't pain then. but after about 3 weeks later now my tooth pain while eating anything cold. please help.
 


Posted By : Dr.Ritz on 29-Apr-2012 11:55 PM
Jenna, since your filling was done without anesthesia and you didn't encounter any pain during filling so there are no chances on infection. Pain can be due to multiple fillings simultaneously and is common. But to rule out the pain due to high filling, i recommend you to visit a dentist and get it checked.And are you experiencing pain in temple region or is it in the teeth filling area? If the pain is in temple region, than it is mostly due to high filling and if the pain is in teeth where filling was done than it might be due to micro leakage due to improper filling.
 


Posted By : Jenna on 27-Apr-2012 06:23 PM
I had 6 cavities filled 5 days ago. One hour after my dentist visit I noticed that one filling seemed to have disappeared. I went back the same day and apparently one filling dissolved. I had it filled again. All the cavities were not deep and were drilled without anesthesia. I did not ecounter any pain or sensitivity issues since today. All teeth became very sensitive and now one side of my jaw really hurts, especially when I move it side to side.. Would this be due to a high filling? My bite seemed alright after fillings were donw. Could there be an infection?
 


Posted By : Dr. Ritz on 27-Apr-2012 10:22 AM
Laura, from your symptoms it looks like that you have infected teeth. The infection can be because of the deep filling or there was infection before and filling was done above that. it is always advisable to save the teeth if they can be saved. if you get them extracted then you have to go for the replacement and it will be the dental implant. So it is better to get them saved by getting the root canal treatment done.
 


Posted By : Laura on 27-Apr-2012 07:02 AM
I went to my dentist & had fillings done between to teeth on my left upper back. 14 & 15 to be exact. About 2 months later I started to get shooting pain anytime I bit down on that side. I went back & she said I would probably need a root canal & put me on antibiotics... It was ok for about a month. Then the pain came back, however only occasionally & only when I chewed on that side. I have been for a second opinion, and they replaced the fillings. Since then I have had persistant pain on the whole left upper side of the mouth. Waited almost 2 weeks, and went back, only for them to AGAIN replace the same fillings. It has been almost a week & the pain continues!! Help!! I am ogoing back today, and am ready to have them both extracted as the pain is unbareable!
 


Posted By : Dr. Ritz on 23-Apr-2012 06:31 AM
Tasnim,The irritation immediately after scaling is normal and it goes after 3 to 4 days. but after 2 weeks if the irritation starts again then it can be either because of poor oral hygiene or you have some other problem. Maintain good oral hygiene and do warm saline rinses. If the irritation goes then it is o.k. otherwise you should visit the dentist
 


Posted By : tasnim on 22-Apr-2012 01:08 AM
i did tooth scaling 2 weeks age. after 3/4 days of scaling irritation on teeth was stopped. but from yesterday again i am feeling teeth irritation. what can i do now? is this a serious problem? need suggestion. i am using sensodyne toothpaste.. thank u
 


Posted By : Dr. Ritz on 18-Apr-2012 10:53 AM
Bel,If the pain was there after so many months and the dentist says that there is infection then it is better to go for root canal treatment. AS you are on antibiotics the pain will once subsides after 3 to 4 days but it can reoccur as the infection is there.
 


Posted By : Bel on 17-Apr-2012 03:52 PM
Hi, I had a composite filing on my molar last november of 2011. the pain was gone after 4 or 5 days. Now, arpil 15, the same molar hurts. not so bad the first day, but after 3 days, it is now annoying. I went to a different dentist and have it checked. We did an xray and was told that there is an infection. She tried to clean it and put on a temporary filing and gave me antibiotics for 7 days (clindamycin HCI 300mg). she said that we will try to save the tooth from Root canal procedure. she gave me an anesthesia during the procedure because I do feel pain. though it still hurts - the part of my gums where the injection was inserted and my tooth is still sensitive. How long will the pain be? 3 or 4 days? by your experience, can this tooth be saved from root canal? thanks!
 


Posted By : Dr. Ritz on 16-Apr-2012 08:55 AM
Sally,Some times after getting the composite filling one can have pain or sensitivity but that is there for 3 to 4 days. Gradually it goes. If it is continuing for so long and as you say the cavity was not deep it can be because the filling was high. It is difficult to comment with out the clinical examination and the detailed history but if you are not convinced then you can take the second opinion.
 


Posted By : Sally on 15-Apr-2012 03:06 PM
Hi I wonder if you can give me some advice . I visited a new dentist in Feb , I hadn't been to my regular for a couple of years as getting an appointment was nearly impossible. My teeth have always been pretty good and up till now (47) i only had one filling. At new dentist they told me I needed filling at once and in time probably a couple more, I had no tooth ache or feeling of gap or sesitivity.I had filling a white composite as it was being done, all the equipment in room broke down and they couldn't continue drilling , the dentist gave me a fluoride treatment and temp filling. three days later I had proper filling done . Since then my tooth has been really irritating me I can't say its pain but constantly throbs and affects along my jaw. I went back to dentist whom gave me a fluoride treatment, that caused much more discomfort and also irritated my top teeth.My dentist has since filed the tooth and said that the sensitivity was due to over brushing , I know I had slightly receding gums but now on that side of jaw they are much worse.Dentist has now has told me that she will need to remove filling give the tooth some treatment but after that I won't be able to have a white filling ....any advice please
 


Posted By : Dr. Ritz on 12-Apr-2012 08:48 PM
Tee,If you have pain after so many days of filling then either the filling is high or the cavity was deep and it has infected the tooth. So go to your dentist and get the X-ray done to find out the cause of the pain
 

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