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Dentistry/Infected fillings?

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Question
I have a tooth filling for little over a year, it really hurts now. Some of the gum line below it was shaved off to drill and then add filling. The fillings is really close to the gum line. When it was first placed in I felt coldness afterwards, was told its normal, and it eventually stopped. How could a tooth with a fillings be infected? Will the x-ray show if the fillings was cracked, small, or not sealed? Could my infection had grown from the first day I got the fillings? Thanks.

Answer
After a gum line filling is placed most teeth are fine. Sometimes it is possible for the pulp to die afterwards and become infected. The infection is detected by the dentist in a number of ways. The patient may develop pain, swelling, be unable to sense cold in their tooth, or radiograph might show bone destruction around the apex of the tooth. Sometimes the x-ray will not show a problem. The best way for you to know if your filling is ok is to ask your dentist or seek a second opinion. If it is now not bothering you, why not wait until it is time for your exam and express your concerns to your dentist. He will probably be able to tell whether the tooth is OK.

Dentistry

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Lawrence Spindel DDS, www.lspindeldds.com

Expertise

Cosmetic Dentistry, Endodontics, General Dentistry, Preventive Dentistry, Comprehensive Dental Care

Experience

Former Clinical Instructor of Comprehensive Dentistry, and Prosthodontic Department New York University School of Dentistry. Also former instructor of Preventive Dentistry Columbia University School of Dentistry.

Publications
Ask Dr Spindel Dental Blog also numerous articles on http://www.lspindeldds.com (over 100 pages of original content)

Education/Credentials
1980 DDS New York University College of Dentistry 1981 GPR Manhattan VA Hospital

Awards and Honors
OKU 1980 Honor Society 1980 Long Island Academy of Odontology award for highest combined Academic and Clinical Achievement.
In 1997 he was elected to Fellowship into the International Academy for Dental Facial Esthetics

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