Lost tooth filling

The loss of a filling indicates either that the adhesive elements have not fixed it properly or that caries has formed under the filling, which has loosened the adhesive bond from tooth to filling. If the affected person loses his filling, it is generally agreed that it will be replaced by a new filling as soon as possible. If the lost filling is on a root canal treated tooth, the loss can primarily not cause any discomfort, because the tooth is dead and can no longer feel anything due to the missing nerve tissue.

In this case, a filling alone is often not enough, because root-filled teeth should be crowned in a timely manner, as they become brittle due to the loss of nerve tissue and can break off more easily. The crowning prevents the tooth from breaking off. In the case of teeth not treated with root canal, where the filling comes loose, complaints often occur because the tooth lies “naked” in the place of the filling and is not protected.

Especially cold drinks or food cause pain, so the filling should be restored as soon as possible. Furthermore, the tooth is more vulnerable without the filling and the nerve in the nerve chamber can become inflamed. Therefore, one should go to the dentist as soon as possible after the loss of the filling. The same applies to milk teeth: if a filling has been lost, it should be restored as soon as possible because milk teeth are even more susceptible to caries due to their anatomical structure. You can find more information on this topic under: Filling has fallen out

Pain after tooth filling

After a filling, some patients complain about the feeling of pressure on the tooth. One reason for this can be that there is a new filling material in the tooth which irritates the nerve slightly. This feeling should disappear after three days.On the other hand, a prolonged feeling of pressure can be an indication of incipient root inflammation and should be clarified by a dentist.

Toothache after a filling, if it occurs, lasts for several days. How long such pain lasts also depends on the depth of the carious lesion. If the caries has already penetrated very far into the tooth and therefore the dentist has to grind very close to the pulp, mechanical irritation by the drill and grinding is more likely and also stronger, the pain lasts longer.

In extreme cases the toothache can last several weeks after the filling. If the pain persists, the dentist should be consulted again to exclude other causes of pain. Toothache after a filling can also be permanent in the first few days and is usually described as pulling pain.

Toothache after a filling occurs only at night for some patients. The explanation for this phenomenon is basically quite simple: at night the patients assume a lying position. In this position the head is at the same height as the rest of the body and therefore the blood circulation is increased.

Increased blood circulation in the mouth increases the release of certain inflammatory mediators in the tissues. These inflammation mediators bind to pain receptors in the mouth and thus cause the pain. Through their binding to the pain receptors, pain signals are sent to the brain, which is now transformed into the sensation of “pain”. Pain after a filling at night is therefore nothing unusual and should soon disappear on its own.

Feeling of pressure:
Duration of the pain:
Only at night: