I had 6 composite fillings done earlier this year and all of them hurt even weeks after getting them done especially when chewing food(soft or hard). The pain was too much and i couldn't chew so my dentist removed the fillings and put in temporary ones. As soon as the temporary fillings were put in there was no pain at all.
Two days ago i went back to have 3 of the temporary fillings replaced with composite again and the pain when chewing has come back. Whats going on with these fillings? They're definitely not too high, if anything they're a bit low. Chewing causes the most pain, it's pretty much impossible on those teeth but there's also a dull ache at all times.
I've had composite fillings done in the past and i never had any issues back then so i don't understand why these would hurt so much. Prior to the fillings the cavities caused no pain either.
Your descriptions suggest occlusal interference introduced by new filling, although you do'nt feel high, it's probably you didnt clench your jaw or your head position was extended in the dental chair. If you clench your jaw and move your head down ( toward your chest), you probably can feel heavy pressure upon the filled teeth. Going back to your dentist to have more occlusal adjustment is advised.
If empty mouth clenching does'nt elicit discomfort or pressure, try to extend your head and move your jaw upward and backward bimanually,and move your head down while pushing your jaw backward and upward, this maneuver is supposed to be operated by a dentist, and dental assistant holds the articulating paper. An optimally restored tooth is able to withstand cotton roll clenching test. Place a piece of cotton roll between your posteior upper and lower tooth,clenching on the cotton roll, and feel the comfortness, a minutue occlusal interfernce can yield discomfort perceived by patient. If you can pass the cotton roll clenching test and still feel uncomfotable during chewing activities, check out eccentric interference. Elimination of occlusal interference is very easy, the difficult part is to detect the presence of occlusal interference. If there be no occlusal interference detectable, possible culprit of chewing sensitivity is the refered phenomenon of myofascial trigger point pathology of masticatory musculatures. The described maneuver technique is not taught in dental school, it took me 10+ years to figure out. i taught practising dentist my technique during my continuing education course.
cotten roll test does nothing. only chewing creates pain even if i dont chew all the way down, although there is some dull pain when doing nothing from time to time as well.
however on one tooth if i push down really hard right on the filling with my finger i can create some pain.
what should i tell my dentist? i go back in about a week to redo the remain fillings. are there different brands for the composite material and self etching stuff? is it possible a reaction to one of the materials being used can be causing the problem? like i've said i've had composite fillings in the past without any issue, so maybe he changed material brands.
Hi, I know what you mean. I have one of those new white fillings and I don't remember the soreness in chewing and all around odd sensation after my metal fillings. It looks pretty. Can't even see it. But man, give me my ugly, dependable, metal fillings back!
7 days in counting and if anything it is feeling worse by the day.
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