A lost dental filling is a common occurrence. Fillings are not permanent and can loosen or fall out due to wear and tear, new decay, or biting on hard foods. While professional attention is required, immediate steps can manage the situation until a dentist can be seen.
Immediate Steps and Eating Safely
Upon discovering a lost filling, gently rinse your mouth with warm salt water to cleanse the area and reduce discomfort or potential for infection. If you can locate the dislodged filling, keep it in a safe, clean container to show your dentist, though it is unlikely to be reused. Promptly contact your dental office to schedule an appointment.
When eating with a lost filling, choose soft, mild foods that do not require extensive chewing. Foods such as yogurt, scrambled eggs, well-cooked vegetables, smoothies, and soups are suitable options. Chew on the opposite side of your mouth to avoid further irritation or damage.
Avoid hard, sticky, or chewy foods, as these can dislodge material or damage the exposed tooth. Examples include nuts, hard candies, caramel, chewing gum, and tough meats. Extreme temperatures from very hot or cold foods and beverages can cause heightened sensitivity and discomfort. Over-the-counter temporary dental filling material or dental wax can be applied to cover the exposed area, providing a short-term barrier against sensitivity and food particles. These are not a substitute for professional dental care.
Why Prompt Dental Care is Important
Delaying professional dental care after a lost filling can lead to complications. Without the protective barrier of the filling, the underlying dentin, which is softer than enamel, becomes exposed and vulnerable. This exposure often results in increased sensitivity to temperature changes, sweet foods, and pressure.
The open cavity provides an ideal environment for bacteria and food debris to accumulate. This significantly raises the risk of rapid tooth decay. If bacteria penetrate deeper into the tooth, an infection or abscess can develop, potentially requiring extensive treatments like a root canal or even extraction.
The compromised tooth structure is also more susceptible to fractures or cracks, which can lead to more significant damage. Addressing a lost filling promptly prevents these issues from escalating, safeguarding the tooth and avoiding painful and costly procedures.
What Happens at the Dentist
When you visit the dentist for a lost filling, the initial step involves a thorough examination of the affected tooth. The dentist assesses the extent of the damage and determines why the filling came out, such as new decay, a tooth fracture, or general wear and tear of the existing restoration. X-rays may be taken to gain a comprehensive view of the tooth’s internal structure and surrounding bone.
Based on the assessment, the dentist will discuss the most suitable repair options. If the tooth structure is sufficiently intact and there is no extensive new decay, a new dental filling may be placed. If damage is more extensive or a significant portion of the tooth is compromised, alternative restorative procedures such as a dental crown may be recommended to provide full coverage and strength to the tooth. In severe cases involving deep decay or nerve exposure, a root canal might be necessary before placing a crown.
Dentists also offer advice on preventing future filling loss. This often includes guidance on good oral hygiene practices, such as consistent brushing and flossing, and avoiding habits like chewing on ice or very hard foods that can stress dental restorations. Regular dental check-ups are also recommended to monitor existing fillings and address issues before they lead to loss.