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Visitor asks:

Hello,
because my tooth hurt, my dentist replaced the old silver filling in my upper first molar with a new white filling. The dentist told me there was nothing wrong with the tooth and that the pain was only a consequence of the flu, because it hurt only when I moved my head or ran, otherwise not, and nothing problematic was found inside the tooth either. A week after the filling was replaced, however, the tooth became very sensitive and painful on biting, and now it has also become sensitive to sweet and cold; it gives a sharp pain even when I smile in cold air. The dentist told me this was only a reaction to the white filling and that the problems should pass within a few weeks. It has now been well over a month and there is no improvement. In addition, I often have a taste of pus in my mouth, not on the same side as the painful tooth but lower down. I would like to ask for your advice on what this could be, since I have never had any problems with my teeth before. Thank you and kind regards!
Branka

Dentist Tomaž Rotar answers:

Dear Madam!

Pain after replacing a filling is caused by irritation of the dental pulp, which occurs due to vibration, temperature changes and drying of the dentin during drilling. These factors cannot be avoided. The depth to which the carious process has to be removed is also essential; the closer it is to the pulp, the greater the likelihood of excessive irritation. Irritation of the pulp causes inflammation, which you experience as unpleasant sensations: hypersensitivity to temperature changes, pain... If the inflammation was partial (hyperemia), the problem is reversible and does not require additional treatment; however, if the inflammation is more severe and involves the entire pulp (pain on biting, percussion), the condition is irreversible and requires additional treatment: root canal treatment.
For additional information, please call us by phone.

Thank you and have a nice day.

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