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About Benjamin Schwartz, D.D.S.
Expertise I can answer a range of questions in dentistry, ranging from cosmetic dentistry, fillings, root canals, and comprehensive treatment. Specifically, my fields of interest are in CEREC technology, Invisalign (Invisable braces), and Endodontics (root canals).
Experience Full time practicing dentist in New York City, treating all phases of adult dental needs.
Specific focus on Invisalign cases, Endodontic (root canal) treatment, and CEREC single visit restorations.
Publications Schwartz Benjamin, Boczko Fae, McKeon S. Oral Care For The Elderly. Perspectives in Gerontology December 2006
Education/Credentials New York University College of Dentistry - D.D.S.
Woodhull Medical Center, 1 year post-graduate residency program - GPR
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You are here: Experts > Health/Fitness > Dentistry > Dentistry > Biting pain after composite filling
Dentistry - Biting pain after composite filling
Expert: Benjamin Schwartz, D.D.S. - 11/4/2009
Question Hello Dr. Schwartz,
I had a couple of composite fillings a week ago in my next-to-last molar on top. I'm not experiencing any sensitivity to hot or cold foods/drinks, but when I chew, I feel a shock of pain. The sensitive point is right between two teeth - flossing that spot is very painful, but brushing doesn't hurt, nor does clenching my jaw. There was no pain prior to the filling.
I felt similar pain last time I had a filling on this part of my mouth (same tooth actually, but between that tooth and the one ahead of it) and it took weeks for it to get back to normal. The dentist noted that it took me a LOT of novocaine to get numb (6 shots, I believe!). She adjusted the filling a bit, which helped, but it still hurts. What worries me is that she said if the pain continues, she will re-do the filling or potentially put in a crown. This really scared me because I'm only 25!
Anyway, does this sound like a normal reaction to a composite filling between the teeth? Given the pain I experienced with the last filling and how long it took to numb it, could it be that this tooth is just particularly sensitive? Does it seem reasonable to assume that since it's the same sensation as last time, that the pain will just eventually subside and this is not indicative of a bigger problem (unless other symptoms arise, of course)?
Thanks so much for your help!
Answer Hi E,
Welcome to the wonderful world of dentistry! :)
Unfortunately, everyone reacts differently to dental treatment.
Some people could move on like nothing ever happened, others take weeks to recover.
Most people do feel some sensitivity for a few days to a week afterwards.
If this is the second time this tooth was drilled, and you do have a lot of sensitivity on it, then it may have a small fracture in it. By placing a crown, you will be banding the tooth together, and potentially preventing any future problems.
If the pain still persists for another week or two, this may be the road to go down.
However, I would recommend making a temporary crown, and leaving that in place for a bit to see how the tooth responds. If it feels good, then move onto a permanent crown.
Please let me know if you need anything else!
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