Saturday, July 25, 2009

My teeth are super-sensitive after getting my first fillings, is something wrong?

I got my first 2 cavaties last year (I'm 28). Since getting the fillings, my molars get extremely painful when I eat cold/hot/sweet/hard things. I've always had sensitive teeth, but this is much worse and I'm worried something's wrong. As a bonus, why did I start getting cavaties at my age? Nothing's changed in my diet, etc...

My teeth are super-sensitive after getting my first fillings, is something wrong?
When having a tooth filled it may be sensitive at first, but over time it should taper off. I think that one of two things might be happening, 1. The filling is too "high" and needs to be adjusted to correct the way your teeth bite together or 2. when you had the filling done the nerve was injured. It is possible that the nerve was already injured by a deep cavity, but it may have not been able to withstand treatment. You might expect to have an Xray taken when you return to the office to rule out an abscess (infection) and if an infection is present my guess is that you would need a root canal. If not a root canal (which removes the nerve of the tooth and replaces it with a putty like material), the Dr. would probably take out the current filling and put in a temporary medicated filling to see if the tooth will "calm down" A sensitive toothpaste won't help this condition...





You can get cavities at any time during your lifetime, but I am going to guess it is dietary related even if you are thinking that your diet really hasn't changed. I have seen this happen with some of my patients. If you are eating candies, even small ones like altoids or cough drops your teeth are being exposed to acids that are produced by your mouth breaking down these sugars. Usually the acids hang around for about 20 minutes breaking down the tooth enamel causing decay. If not candy it could be the same acid cycle when sipping a drink at your desk, many people will sip a drink all day which exposes you to acids all day (even sugar free drinks have acid in them). Cavities can also be caused by acid reflux or a condition known as "dry mouth". It may also be that you had the beginnings of small cavities before, but they were not big enough to be fixed before and now they are. I would recommend an over the counter fluoride rinse (ACT or Fluoriguard) nightly as a preventive against new cavities. Good luck!





JAMRDH - a dental hygienist
Reply:Maybe when the dentist was drilling your teeth to get rid of the cavities he/she hit a nerve ending in your tooth. You should go see a dentist as soon as you can. Well the best of luck.
Reply:What sort of fillings did you get? If you got silver fillings they are made with metals, and metal is a good conductor of temperature....that's why you have the cold/hot sensitivity.





The sweet sensitivity could be because of tooth decay.





Eat poop.
Reply:Your sensitive teeth are because the enamel has been worn away. 2 of my sensitive teeth were caused because the side of my molars were worn away by brushing by a hard or old toothbrush. The pores in the tooth is exposed and hot and cold is felt by the nerves. I had the side of my tooth covered by a white filling material. Now I don't feel the sensitivity.


If your fillings are sensitive you should go back to the dentist


because they should be covering your cavity.


Be sure to floss to keep your gums from receeding.



safety

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