Filling is called as high if dentist allows too much of filling material to project from the tooth cavity. High dental filling is not an uncommon event. Before dental filling, local anesthesia is given to the patient. It is difficult for patient to precisely duplicate a normal jaw relation when the patient is numb. When a dentist put the colored paper in patient’s mouth and tell him to bite and asks him if the dental filling feels high, at that time patient may not be able to tell that whether the filling is high or not. Patient will feel high filling contour when the effect of local anesthesia wears off. When patient will bite normally, something will be stuck. Tooth with high dental filling will become sensitive to hot and cold food stuffs and biting pressure.
Dental filling too high is one of the common reasons which lead to pain after dental filling. High dental filling leads to moderate to severe pain on application of pressure on dental filling. Tooth is supported in bone by periodontal ligament. If dental filling is too high, then it can lead to tenderness of the ligaments. Ligaments get compressed more than usual in case of high dental fillings and causes symptomatic apical periodontitis or acute apical periodontitis. If dental filling is high, then periodontal ligament gets widened and will become red and inflamed and causes pain.
When the tissues in our body are put through stresses, then the tissues get tender. If you work for a long time in sun, then the tissue of your body will be strained up. To heal the strained ligaments, extra blood will be pumped in your hands which will make your hands appear red and swollen. Same thing happens with periodontal ligament when it gets strained due to high dental filling.
To stop the pain due to high filling, Patient can call the dentist and tell him that dental filling is too high and can get the selective grinding procedure done. Dentist will place a colored paper (articulation paper) in patient’s mouth and will tell him to bite.
With colored paper, high points will appear on the filled tooth. Dentist will grind the high filling and will recheck the bite and the procedure will take just few minutes. Dentist will smoothen down the filling with his hand piece and burs. Smoothening of filling is done so there is no requirement of anesthesia to numb the tooth. Dentist will probably not charge for the procedure as it was dentist’s fault that he didn’t grind the filling and corrected the bite after dental filling.
Pain and sensitivity for few days after dental filling is normal but if there is tooth sensitivity on biting down, then patient should visit his dentist.
After selective grinding, periodontal ligament will take some time to heal from stresses which were placed on them due to high filling. Healing of periodontal ligament can take a day to 2 weeks. If pain persists beyond 2 weeks, then patient should visit the dentist. There should be no pain 2 weeks after dental filling and if pain occurs after that long, then there is definitely something wrong with the tooth.
Dental filling too high can lead to following difficulties:
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