Post operative discomfort after fillings (why they sometimes cause prolonged sensitivity to cold or pressure)
When any type of filling is done on a tooth, some sensitivity to cold and pressure is normal. This often lasts for as much as a month after the filling is done. The amount of post operative discomfort associated with any given filling depends on the depth and extent of the cavity preparation which in turn depends upon the depth and extent of the original area of decay or of the old filling which is to be replaced.
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In many instances the living nerve in the tooth is not especially healthy at the time the filling is done, and the trauma caused by removal of the decay or the old filling can push the nerve over the edge causing an irreversible pulpitis (inflammation of the nerve) which will lead to the eventual death of the nerve. Situations in which the nerve of the tooth remains exquisitely sensitive to cold, or hurts spontaneously without an external stimulus may have a dieing nerve, and the only solution to this problem is either to perform a root canal treatment or extraction on the tooth.
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A second problem that can cause prolonged sensitivity to cold or pressure on a recently filled tooth is hyperocclusion. This is a technical term that means that the filling is simply too "high" and strikes the opposing teeth with too much force when the patient closes his mouth. This can cause very severe sensitivity to cold and sensitivity to pressure, especially pressure applied to the side of the tooth. This is a very common problem because the patient is generally numb when the dentist carves the top of the tooth. The patient may not be closing into his normal bite and the dentist may miss a high spot. The solution to this problem is to return to the dentist for an occlusal adjustment, which means that the dentist determines what spots on the tooth are high and grinds them down.
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Finally, removal of an old filling or decay may reveal a crack in the floor of the cavity preparation. This can lead to cracked tooth syndrome which means that the tooth hurts whenever pressure is applied to one or more cusps (points) of the tooth. Cracked teeth happen all the time in dentistry, and they are one of our most challenging diagnostic problems. The sudden appearance of cracked tooth syndrome does not mean that the dentist did something wrong. It is generally due to a pre existing crack which suddenly allowed the tooth segments to spring apart when the old filling was removed, or when the dentist cut a new surface in order to remove decay.
2006-10-13 02:30:07
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answer #1
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answered by OnionSkin 3
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2016-12-25 22:37:38
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answer #2
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answered by Anonymous
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Throbbing Tooth
2016-11-04 22:11:11
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answer #3
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answered by ? 4
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For the best answers, search on this site https://shorturl.im/OAsQz
I'm a dentist. Maybe I just have a chip on my shoulder because I've heard that particular comment so many times, but I sense a hint of blame in your statement. "My tooth didn't hurt until you put the filling in it." Well, you know what? Your dentist didn't put the cavity in your tooth. You did. He simply treated it for you, and sensitivity is a potential side-effect of the treatment. Getting off my soapbox, I will say this: if the cavity was big (i.e. meaning deep), then yes, sensitivity can be expected. Whether or not it will go away remains to be seen. Sensitivity is caused by inflammation of the pulp, i.e. "pulpitis", which is characterized by cold sensitivity that doesn't produce any lingering pain. Sometimes this inflammation subsides, and sometimes it doesn't, and instead gets worse to the point where the pulp ultimately dies. What you, as the patient, needs to watch for is sensitivity to cold that produces lingering pain for a few minutes or more after the cold stimulus is removed from the tooth. That is an excellent indicator that the pulpitis is not reversible, and that the tooth will need a root canal. Severe sensitivity, even without lingering pain, can also indicate irreversible pulpitis. Spontaneous, throbbing pain, is also an indicator of the same. If your tooth gets better (or if it ends up needing a root canal), then get the crown as recommended by your doctor.
2016-03-29 06:40:46
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answer #4
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answered by Anonymous
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This Site Might Help You.
RE:
why is my teeth throbbing after having a tooth filled?
I had a tooth filled yesterday and today the whole right side of my teeth are throbbing? why? should i return to the dentist?
2015-08-07 02:32:25
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answer #5
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answered by Anonymous
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It might have been a large filling. Metal is a conductor. If the pain is too much to bear then you can use orajel to desensitize it. Now there's a type out that lasts up to 30 days. But I recommend if your in pain see a dentist right away. Or you my lose the tooth for good.
2006-10-13 05:36:16
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answer #6
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answered by deathsmoke2002 2
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After getting tooth filled u have no guarantee that u ur tooth willl be alright. So problem is for sure. Find some another alternative for that tooo now.
2006-10-13 02:33:53
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answer #7
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answered by Karthik 2
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2017-02-19 23:37:07
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answer #8
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answered by ? 4
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My Tooth Is Throbbing
2016-06-23 01:17:19
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answer #9
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answered by ? 3
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sOs answered the question perfectly. I will say this. If there is pain associated with chewing food, it could be as simple as a minor occlusal adjustment. If this is the case, call your dentist to have the bite adjusted.
2006-10-13 04:00:00
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answer #10
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answered by _LitMatch_ 3
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