In what cases is a temporary filling placed on a tooth?

Why a temporary filling is placed: types of material
Why does a tooth with a temporary filling hurt: the main reasons
Standard activities after installation of the material
Temporary filling hurts when pressed: how to cope with the disease

Many patients complain to dentists that their tooth hurts under a temporary filling. For the first 2-3 days, a slight aching pain is considered normal and does not cause cause for concern or panic. It is associated with the active influence of drugs on the nerve endings of the molar or premolar.

If the temporary filling hurts very strongly and for a long time when pressed, it is recommended to make an appointment with a specialist earlier than the specified date. Dentists at the reliable A-Medic clinic will conduct a thorough examination and prescribe a diagnostic examination to find out what exactly is causing the pain. All people are scared that they have had a temporary filling installed and their tooth hurts, but most often there is no reason to worry.

Indications for placing a temporary filling

Treatment of deep caries. After cleansing the tooth cavity from necrotic masses, the dentist places a medicinal solution that helps the dentin strengthen the layer between the pulp chamber and the open cavity.
Diagnosis of the condition of the tooth with deep caries before installing a permanent filling.
Acute pulpitis. A temporary intermediate composition is placed while the nerve is removed.
Periodontitis. To relieve inflammation, an antiseptic or medicinal preparation is placed in the area of the tooth roots, which is then covered with light cement.
Sanitation of dental canals before filling. The doctor cleans the canals, filling them with a disinfectant solution, then places a temporary filling.
Prosthetics, restoration. The process of making an artificial crown or orthodontic structure takes several days. To protect against microbes, the open tooth cavity is closed with a temporary filling material.

Stages of placing a temporary filling:

opening the tooth cavity, removing all affected dentin tissue;
expansion, cleaning, treatment of dental canals;
therapeutic stage (depending on the diagnosis, the nerve endings of the pulp are removed, medications are placed in the tooth cavity, and the canals are filled with temporary cement);
The crown is closed with a temporary filling.

What to do if your tooth hurts

Discomfort and pain in the first days after the procedure are normal. If pain persists, you should consult a doctor. He will perform diagnostics and give recommendations.

If it is impossible to see a dentist, the following measures will help alleviate the condition:

taking analgesics - Ketorola, Naiza, Analgin: these medications will relieve pain;
rinsing the mouth with herbal infusions based on chamomile, sage, eucalyptus: the plant material is poured with boiling water, left for about an hour, cooled and filtered;
rinsing the mouth with a solution of soda and salt;
you can make a lotion from valerian infusion: soak a cotton swab in the infusion, apply to the gum next to the damaged area;
if swelling has developed as a result of inflammation, antihistamines will help reduce it;
Gels containing painkillers will help eliminate discomfort.

Important: these are temporary measures designed to alleviate the condition, and not an alternative to going to the doctor. Visit your dentist as soon as possible!

Material of manufacture

Requirements for temporary filling materials:

no toxic effect on tooth structures (enamel, dentin, pulp) and mucous membranes of the oral cavity;
safety for human health;
chemical inertness and high resistance to saliva and aggressive environments (alkalies, acids);
mechanical strength, wear resistance, ductility;
lack of galvanization effect;
maintaining shape and size during hardening;
good radiopacity.

The choice of material for a temporary filling depends on the clinical case, age, individual characteristics of the body (the presence of allergies to certain substances), as well as how long the patient will wear it.

Material requirements

To install a temporary filling, a specialized material is used that can be easily removed by the dentist if necessary. The composition for temporary filling must meet the following requirements:

X-ray resistant. To check the correctness of the filling, the dentist prescribes an x-ray examination. The image allows you to timely identify the presence of cracks in the filling material and eliminate them.
Good grip on the surface. It is necessary to exclude the formation of microcracks or incomplete adhesion of the material to the tooth tissue. Violation of this rule may result in medication entering the oral cavity.
Elasticity. The material should easily fill the pores formed in the tooth tissue.
Strength. The material is installed by the dentist for a certain period of time. When eating, the filling is subjected to high stress. In this regard, the seal must be resistant to mechanical damage.
Harmlessness. The filling should not cause allergic reactions or negatively affect human health.
Easy to remove. At your follow-up appointment, the doctor quickly removes the temporary filling.

A mandatory requirement for temporary material is a high curing speed. The filling completely hardens in 2 – 3 hours.

Intermediate filling materials

A paste based on zinc sulfate and kaolin allows you to restore the crown of the tooth.
Karyosan has an analgesic and antiseptic effect.
Vinoxol is an artificial dentin. Withstands chewing load for up to 1-2 months.
Cement with zinc and eugenol. It is used for antiseptic treatment of tooth tissue and relief of the inflammatory process.
Glass ionomer cement is used for temporary fixation of the prosthesis.
One-component polymer materials are pastes with a viscous consistency that harden under the light of a special lamp.

What causes a temporary filling to fall out?

A patient may have a temporary filling fall out due to medical negligence:

if the doctor did not properly dry the tooth cavity after pre-treatment or saliva got there before applying the filling material;
if, after cleaning the carious cavity, particles of infected tissue remain;
if the surface is not processed well enough, which will cause the enamel to destroy the material;
if the filling is placed on a pulpless tooth, in this case it cannot hold tightly, because the surface of the unit is fragile, nutrients do not reach it;
if low-quality or expired materials were used to create a temporary filling;
if the tooth is severely affected by caries and the filling does not have the necessary support.

But not only the doctor can be the culprit of the problem. A temporary filling falls out when the patient does not adhere to the recommendations received after dental procedures. For example, he decides to have a snack immediately after leaving the doctor's office. Despite the fact that you need to refrain from eating for 1-2 hours. In addition, the filling may fall out if there is a large load on it (when chewing nuts and candies, opening bottles with teeth, biting thread, etc.). Its gradual loosening is provoked by chewing gum and toffee candies, toffees.

How long does it take to wear a temporary filling?

Depending on the material of manufacture, a temporary filling has different characteristics of strength and tightness and can last from several days to six months.

Average duration of use of a temporary filling:

2-3 days, if a drug is placed under the filling that destroys the nerve endings of the pulp;
7–10 days while treatment of the inflammatory process with periodontitis or pulpitis continues;
2-3 weeks - for the period of manufacture of the orthopedic structure;
several months in special diagnostic cases (when treating a dental cyst, restoring dentin after deep caries).

It is necessary to strictly adhere to the timing of wearing temporary fillings. If the time period is extended, its integrity and sealing may be compromised, which will negatively affect the health of the tooth. Thus, arsenic-based paste, if not removed after 2-3 days, begins to penetrate the dentin through the tubules, destroying bone tissue.

How long a temporary filling can be worn is decided by the attending physician, depending on the diagnosis and the chosen treatment method.

Removing a temporary filling is a mandatory procedure before placing a permanent filling. After removal of the temporary composite, antiseptic treatment of the root canals and dental cavity is carried out. Next, a permanent filling is installed.

What materials are used?

To create a temporary filling, your dentist may use:

Paste dressings based on zinc oxide - Cavit, Cimpat, Tempfill. Septo-pack is also used. They are cheap and quick to install. Their hardening period ranges from several minutes to 2 hours. The recommended wearing period is a week, maximum - a month. They are easily erased by opposing teeth, so they do not create discomfort when closing the jaws. But it is worth considering that they have low strength and under heavy loads they break and fall out. In addition, pathogenic microorganisms penetrate into the cavity through the gaps formed between the tooth wall and the filling. These fillings are white (except for Septo-pack, which is pink) and stand out against the background of the dentition. In the case of using Cavit, Cimpat, Tempfill, the doctor says that after the manipulations you should not eat or drink for two hours.
IR M. This is a polymer-reinforced zinc oxide-eugenol cement, white in color. The material hardens quickly and has a high density, so to ensure that the filling does not interfere with the bite, the doctor grinds it. The service life of these “temporary structures” is from 2 months to 2 years. If necessary, the dentist removes it by drilling.
Clip and similar light-curing materials. The main advantage of this type is the ability to easily and quickly remove the filling. But it does not create hermetic protection, so it must be used in combination with other materials. Due to its low strength and weak adhesion to the tooth, the period of operation is no more than a month.
Glass ionomer material. Fillings created with its use are durable and aesthetically attractive. You can walk with them for several months without fear of consequences. An additional advantage of the filling material is the possibility of partial drilling, when deep layers are used as an insulating gasket. This approach to treatment allows for maximum preservation of healthy tissue of the unit and protects the pulp from inflammation.
Light-curing composite. Typically used to create a permanent filling. But if the patient has a badly damaged tooth or needs to put a “temporary” on the front surface of the incisor, this modern material is chosen. You need to pay attention to the importance of a follow-up visit to the dentist. If the dentist says that the filling is temporary and sets an appointment date, you cannot ignore it.

The dentist decides which material is best to use after assessing the scale of the pathology. He will take into account the need to treat inflammation, the degree of destruction of the unit, the importance of the aesthetic appearance of the filling and the time when it will be convenient for the patient to visit the clinic again.

Problems that arise when installing a temporary filling

Painful sensations can be caused by an incompletely destroyed nerve, infection under the filling, or the development of inflammation.

The filling falls out or crumbles. If you do not immediately consult a dentist, the treatment will have to begin again with re-sanitation of the canals, treating them with antiseptics to stop the development of infection.

An unpleasant taste in the mouth often indicates depressurization of the temporary coating, when the medicine from the tooth begins to leak into the oral cavity.

Darkening of the filling, swelling or redness of the gums may be signs of an allergic reaction to a component of the filling material.

Temporary filling hurts when pressed: how to cope with the disease?

People often ask the question: “if you have a temporary filling installed and your tooth hurts, what should you do?” When a tooth hurts under a temporary filling, this is a normal condition, do not panic. If the dentist said that there is no cause for concern, you should be patient and wait out the unpleasant symptom. When a temporary filling causes severe pain in a tooth, and you run out of strength to endure the pain, you can use the following recommendations:

rinse your mouth with antiseptic and soothing solutions. You can prepare them yourself at home from natural ingredients. For example, chamomile and sage are poured with boiling water and the resulting product is used to rinse the mouth;
do not allow food and drinks (mainly hot or cold) to come into contact with the treated tooth;
take a painkiller (analgesic). “Nise” and “Ketorol” give good results;
make lotions with valerian tincture. A moistened cotton swab of valerian is applied to the painful area, the gum near the tooth. This will temporarily relieve the irritation.

If a tooth hurts after installing a temporary filling and swelling or redness of the soft tissue appears, this may indicate the presence of an inflammatory process or the appearance of pus. In such a situation, you should re-make an appointment with a dentist-therapist. The A-Medic clinic employs qualified specialists with extensive experience. To make an appointment, just fill out the standard form on the official website of the clinic (indicating your full name and contact number). Prices are affordable, and consultation with a dentist is completely free.

Drugs placed under a sealed barrier

The service life of the temporary plug initially depends on the drug put into it:

Arsenic is used to kill the nerve in the tooth for subsequent depulpation. For this purpose, a number of other toxic substances are used, which help not only to painlessly remove the nerve, but also to subject the entire pulp tissue to necrosis;
To treat periodontitis or pulpitis, antiseptics or antibiotics are used to relieve inflammation. Such a filling is usually worn for about 20 days until the infection is completely suppressed.

Filling falling out during pregnancy

If a temporary filling falls out in a pregnant woman, it is also important to consult a specialist. If at the time of treatment she is in her third trimester, and a complex dental procedure is ahead, the doctor can install a new “temporary” and transfer the therapy to the postpartum period.

It is worth remembering that pregnancy is not a contraindication for visiting the dentist. On the contrary, it is better to visit this doctor more often to prevent the progression of caries. After all, this is a collection of microbes that can spread throughout the body and cause harm to health.

Recommendations

The Doctor Martin Clinic provides services for the treatment of patients with the installation of a temporary filling, if this stage is necessary for more effective treatment. Our center provides guarantees for the work of specialists and materials, however, the possibility of temporary fillings falling out cannot be ruled out.

To reduce the risk of opening a tooth cavity when a filling falls out, our experts recommend:

use low-hardness brushes for dental care;
reduce the load on the affected tooth;
exclude the influence of sudden temperature changes (including eating dishes of different temperatures);
Do not touch the fillings with your tongue or any objects.

Installation of a temporary filling is a mandatory intermediate step in the treatment of many dental diseases.

Compliance with all recommendations, the professionalism of the doctor and high-quality materials reduce the likelihood of temporary fillings falling out to a minimum. If the filling does fall out, we recommend contacting our specialists for advice and making an appointment as soon as possible.

How can you tell if a filling is about to fall out?

After filling, the material occupies the entire drilled cavity; there are no gaps between it and the tooth tissues. When gaps appear between the filling and the tooth, it wobbles when pressed with the tongue, and you need to consult a doctor to prevent the material from falling out.

If this has already happened, and the patient notices a hole in the problem tooth, you need to act consciously. You cannot seal it with chewing gum or insert cotton wool or other improvised materials into the cavity. It will not be possible to seal the hole hermetically; such measures can only do harm, because this will create favorable conditions for the proliferation of pathogenic microorganisms and the spread of infection.