Dental fillings can fall out or come loose for a number of reasons, from new tooth decay to biting something hard. Although fillings can last as long as 15 to 30 years depending on the type of filling, in some cases they might only last five. It all depends on your level of dental care and your specific circumstances. Here we explain what to do if your filling falls out or feels loose.
Why Do Fillings Fall Out?
Over time, fillings begin to degrade which can cause them to become loose and eventually fall out. However, there are other factors at play when it comes to filling loss, including:
New tooth decay below or around the filling
Biting on something that is hard, or chewing something too sticky or chewy
Grinding or clenching your teeth which can put pressure on the fillings or wear them down
Trauma to the tooth or root
Loosening of the bond between your filling and tooth
The filling is very old
If you feel something is wrong with a filling, or know for sure it has fallen out, call your dental office right away to have it checked.
What To Do When A Filling Falls Out Or Becomes Loose
If you notice your filling feels loose, parts have chipped off, or it has fallen out altogether, your first step is to call your dental office as soon as possible. They will arrange a checkup to assess your tooth and arrange to have it restored. Before your appointment you can take the following steps:
If the filling fell out and you have it, bring it along to your appointment
Gargle for a few seconds with a mix of ½ teaspoon of salt dissolved in a cup of warm water to remove debris from the area and help kill bacteria
Follow your usual dental hygiene routine taking care to be gentle on the tooth with the missing filling
Don’t chew on the side where the filling came out
Rinse after eating
You can also find dental wax or temporary filling material at your local drugstore that you can put in place to help protect the tooth until your appointment.
What If The Tooth Hurts?
Not all lost fillings will cause pain. However, if you are experiencing pain there are a few things you can do to remain comfortable until your appointment:
Use over-the-counter nonsteroidal anti-inflammatory drugs like ibuprofen to reduce pain and swelling based on your pharmacist or doctor’s recommendations
Apply clove oil to the exposed area which is usually available at larger pharmacies as well as health food stores
Apply a cold compress to your cheek or jaw where the tooth is located in 15-minute intervals
Apply a topical oral numbing agent available at your pharmacy
These solutions will help reduce pain and swelling until your dentist can assess your tooth.
Do I Have To See A Dentist If It Doesn’t Hurt?
Although you might not feel a sense of urgency to see a dentist if the missing or loose filling isn’t causing pain, keep in mind there can be complications if it isn’t replaced or repaired. Because your tooth is now exposed to bacteria and food particles, it is more vulnerable to decay. Depending on how deep the cavity was, it can also mean your tender, soft dentin below your protective enamel is exposed.
So although it might not hurt now, it could become very sensitive. For example, you might find hot or cold drinks and food cause a sudden shock in the tooth. The longer you wait to see your dentist after your filling falls out, the more chance there is you might require extensive restoration including costly root canals, crowns, or even extraction of the tooth. If the hole is large, the integrity of your tooth can be at risk meaning it is easier to crack or break your tooth, again leading to more complicated restorations.
What If My Filling Was New?
If your filling was relatively new, you might feel your dentist shouldn’t charge for repairs or replacement. However, if your filling fell out because you failed to follow post-filling care instructions such as biting down on hard candy, your filling loss is not due to a faulty procedure. Another thing you have to consider is the treatment recommendation on record. For example, if your dentist had recommended a crown instead of a filling, then it won’t be surprising the filling fell out.
Therefore, your dentist will likely charge you to refill it and stress the need for the crown. This is why it is important to always follow care instructions from your dentist after a restorative treatment and carefully consider your dentist’s recommendations for your treatment plan. It is usually far more costly in the long run to opt for less expensive treatments up front, as they usually won’t meet your needs. As a result, you end up requiring the recommended treatment anyways and will end up paying twice because you already paid for the filling.
Will A New Filling Be Required?
The short answer to this question is yes. If you had a filling, your tooth was damaged due to decay which means you have exposed soft dentin. The longer answer is that it also depends on the current condition of the tooth. If the filling falls out due to age or damage from biting down on something hard, if the tooth is intact and the hole does not show signs of new decay, a replacement filling will be suitable.
However, if your filling falls out due to trauma or new decay, the tooth might have new, more serious damage and require further procedures. This might include a root canal if the decay has reached the tender pulp inside the tooth, or a crown if the decay has become deep or wide and a filling won’t maintain the stability of the tooth.
How To Prevent Loose Or Lost Fillings
It all boils down to preventative care. Following a healthy oral hygiene regimen of brushing and flossing twice a day, together with regular dental checkups and cleanings, will help keep your overall dental health in check. We also keep an eye on fillings to look for signs of loosening, damage, or new decay at every checkup so we can recommend replacement.
Doctor Christopher Li, DDS Dr. Chris, as he is affectionately known, is a licensed dentist with over 20 years experience. His caring personality makes even the most tentative person at ease. Patients are constantly commenting about how Dr. Chris is incredible at delivering pain-free freezing, and how he has an amazing chair-side manner. Dr. Chris loves sharing information with his patients and everyone who has teeth about how to care for their teeth, avoid tooth decay, and the treatments available to help them overcome their tooth pain or other dental issues so they can enjoy life and food to its fullest!
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Frequently Asked Questions
What should I do after filling loss?
After experiencing loss, it is essential to focus on self-care, seek support from loved ones or a therapist, allow yourself to grieve, and gradually resume daily activities. Reflect on the meaning of your loss and consider seeking professional guidance if needed to assist in the healing process.
Is urgent dental care needed for filling loss?
Urgent dental care may be needed for filling loss to prevent further damage or infection. Contact a dentist promptly for assessment and treatment to address the issue promptly and avoid potential complications.
Can I eat normally with a missing filling?
If you have a missing filling, it's best to avoid hard, sticky, or chewy foods. Stick to soft foods and gently chew on the other side to prevent further damage. Consider seeking dental care to avoid potential issues.
Are DIY solutions safe for lost fillings?
DIY solutions for lost fillings are generally not safe as they can introduce bacteria, cause further damage, and lead to infection. It's crucial to seek professional dental care promptly to address lost fillings to prevent complications and ensure proper treatment.
Will insurance cover a replacement filling?
Insurance coverage for a replacement filling varies depending on the type of insurance plan you have. Contact your insurance provider directly to inquire about specific coverage details and potential out-of-pocket costs associated with replacing a filling.
Do fillings frequently fall out?
Fillings can occasionally fall out due to factors like wear and tear, decay, or improper placement. Regular dental check-ups can help prevent this issue by allowing dentists to monitor the condition of fillings and address any concerns promptly.
What are the signs of lost fillings?
If you suspect you have a lost filling, look out for sharp edges, sensitivity, pain while chewing, and a noticeable gap. It may also cause discomfort when consuming hot or cold foods and beverages. Additionally, the affected tooth may feel rough to the tongue.
Are there risks in delaying filling replacement?
Delaying filling replacement can lead to complications such as shifting teeth, bone loss, and changes in facial structure. It may necessitate more extensive treatments in the future, impacting oral and overall health. It's advisable to address replacements promptly to prevent these potential risks.
How to prevent fillings from falling out?
Prevent fillings from falling out by avoiding sticky foods, refraining from biting down hard on them, practicing good oral hygiene, and visiting your dentist regularly for check-ups and maintenance to ensure the fillings are secure.
Is sensitivity normal after losing a filling?
Sensitivity after losing a filling is normal due to exposed nerves in the tooth. Avoid hot or cold foods, and see a dentist promptly.
Can a lost filling cause infection?
A lost dental filling can potentially lead to infection as it exposes the vulnerable inner parts of the tooth to bacteria and debris, increasing the risk of bacterial invasion and subsequent infection in the affected tooth. It is crucial to seek prompt dental care to address this issue and prevent complications.
Does a lost filling mean more decay?
Losing a filling does not necessarily mean more decay, but it can create an opportunity for bacteria to enter the tooth, potentially leading to further decay. It is essential to address the lost filling promptly to prevent additional dental issues.
How does a dentist fix a lost filling?
When a patient has a lost filling, a dentist will start by examining the tooth to assess the extent of the damage. The dentist will then clean the area, prepare the tooth, and carefully place a new filling to restore the tooth's structure and function. It is essential for the patient to follow any post-treatment care instructions provided by the dentist to ensure proper healing and maintenance of the new filling.
Can lost fillings damage surrounding teeth?
Lost fillings can potentially damage surrounding teeth as they expose the vulnerable inner layers of the tooth to bacteria and decay, leading to further structural compromise and potential infection if not addressed promptly. Regular dental check-ups are crucial to detect and address any issues early on.
Are temporary fillings prone to falling out?
Temporary fillings can be prone to falling out due to their nature of being a temporary solution meant to last until a permanent filling is placed. The temporary material may not adhere as strongly, making them susceptible to dislodging from chewing or daily wear. Proper care and avoiding hard or sticky foods can help prolong their effectiveness.
How to care for a tooth after filling loss?
If you lose a filling, clean the area gently and avoid chewing on that side. Rinse with saltwater and see a dentist promptly. Avoid sugary foods and extreme temperatures. Be cautious to prevent further damage and maintain good oral hygiene.
What materials are used for replacing fillings?
Dental fillings are commonly replaced with materials such as composite resin, amalgam, gold, or porcelain. Each material has its own pros and cons in terms of durability, aesthetic appeal, and cost. The choice of material depends on factors like the location of the filling and the patient's preferences.
Do all lost fillings require immediate attention?
Lost fillings do not always require immediate attention. If a filling falls out and there is no pain or discomfort, it may not be considered an emergency. However, it is advisable to consult a dentist as soon as possible to prevent further damage or complications.
How to manage pain from a lost filling?
If you experience pain from a lost filling, you should contact your dentist immediately for an appointment. In the meantime, avoid chewing on the affected side, use over-the-counter pain relief, and avoid extremely hot or cold foods. Be cautious with your temporary filling and keep the area clean.
Can fillings fall out without noticing?
Fillings can indeed fall out without you realizing it. This can occur due to wear and tear, decay, or biting on hard objects. Regular dental check-ups are crucial to catch any issues early.
Should I avoid certain foods with a lost filling?
It is advisable to avoid hard or sticky foods with a lost filling to prevent further damage or dislodgement. Opt for softer foods to prevent discomfort and worsening of the situation.
Will a lost filling cause bad breath?
A lost filling may not directly cause bad breath, but it can lead to food particles getting trapped in the cavity, leading to bacterial growth and odor. Proper oral hygiene is crucial to prevent bad breath associated with dental issues.
How soon to see a dentist for filling loss?
If you experience a filling loss, it is important to see a dentist as soon as possible to prevent further damage or complications. Waiting can lead to issues like tooth sensitivity, decay, or discomfort. Schedule an appointment promptly to address the situation and protect your oral health.
Can I brush the exposed tooth after filling loss?
It is not recommended to brush the exposed tooth after losing a filling. Consult your dentist immediately for proper evaluation and treatment. Delay in seeking professional help could lead to further damage or infection.
Do children need special care for lost fillings?
Children requiring special care for lost fillings may benefit from tailored solutions to address their unique needs. Patience, gentle handling, and potentially sedation for anxious individuals could enhance their experience during treatment. Monitoring for any complications, such as pain or infection, is crucial for effective care.
What complications arise from untreated lost fillings?
Untreated lost fillings can lead to tooth sensitivity, pain, decay, and further damage to the tooth structure. Infection and abscesses may develop, requiring more extensive treatments like root canals or extractions. Ignoring lost fillings can result in increased discomfort, potential complications, and higher dental costs in the long run. It is important to address lost fillings promptly to prevent these issues.
How to tell if filling loss causes damage?
Recognizing signs of dental filling loss includes sensitivity, pain, rough edges, or visible gaps. A dentist can evaluate for any resulting decay, fractures, or infection. Regular dental check-ups help detect and address filling issues promptly, preventing potential harm.
Are there alternatives to fillings after loss?
Yes, there are alternatives to traditional fillings after tooth loss. Options include dental implants, bridges, and dentures. Each option has its own benefits and considerations, so it is essential to discuss with a dentist to determine the best choice based on individual needs and preferences.
Can a partial filling still protect the tooth?
Yes, a partial filling can still protect the tooth by preventing further decay and strengthening the compromised area. However, it's important to monitor and address any additional decay or damage to ensure the tooth remains fully protected and functional in the long term.
Should I rinse with salt water for a lost filling?
Rinsing with salt water can help soothe the area of a lost filling and prevent infection. However, it is essential to seek professional dental care promptly to address the situation effectively and prevent further complications.
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What To Expect During Your Dental Visit
When you visit the dentist following a lost filling, you can expect a thorough examination of the affected tooth. The dentist will assess the condition of both the filling and the surrounding tooth structure. They might use X-rays to detect any underlying issues, such as new decay or damage that may not be visible during a routine checkup.
After the examination, the dentist will discuss their findings with you and recommend a suitable treatment plan. This could include a simple replacement of the filling, additional restorative procedures, or monitoring the tooth for any changes. It's crucial to follow the dentist's recommendations to ensure optimal oral health and prevent further complications.
Potential Complications of Lost Fillings
When a filling falls out, it can lead to various complications if not addressed promptly. One of the significant risks is the exposure of the underlying dentin, which can cause sensitivity to temperature and pressure. Furthermore, the open cavity can become a breeding ground for bacteria, potentially leading to new decay or infection.
Delayed treatment may also result in the need for more extensive procedures, such as root canals or crowns, if the tooth sustains further damage. Additionally, loss of structural integrity can make the tooth more prone to fractures, so it’s important to act quickly to minimize these risks. Regular dental checkups can help catch such complications early, preventing severe outcomes.
The Importance of Regular Dental Checkups
Regular dental checkups are critical for maintaining overall oral health, even when you feel fine. These visits allow your dentist to monitor any existing fillings and identify early signs of decay or loosening. Catching potential issues beforehand can save you from experiencing the discomfort and complications associated with lost fillings.
Additionally, professional cleanings performed during these checkups help prevent plaque buildup that could lead to decay underneath fillings. Your dentist can provide personalized advice on oral care tailored to your specific dental needs, ensuring you maintain healthy teeth and gums. Investing time in regular checkups is essential for long-term dental health and can help save you time and money in the future.
New Advances in Dental Fillings
Dental technology and materials have significantly advanced in recent years, which has enhanced the quality and longevity of fillings. New composite materials offer better aesthetics, as they can be color-matched to natural teeth. These materials not only provide a strong seal but can also bond better to existing tooth structure, reducing the likelihood of future complications such as decay underneath the filling.
Moreover, innovations such as minimally invasive techniques allow for less tooth removal when placing fillings, preserving more of the original tooth structure. This approach not only improves the overall strength of the remaining tooth but also enhances patient comfort during the procedure. As advancements continue, patients can expect even greater longevity and effectiveness from dental fillings in the future.
