What Should I Do If the Dental Filling Falls Out? Will It Rot Again? With What Treatments Is It Saved?
Dental filling is the most common treatment that we apply to reconstruct the damaged structure of the tooth for reasons such as caries or fractures. However, after the filling is done, it is not possible to say that the tooth “stays healthy for life” anymore. Thanks to high-quality material, ideal technique, proper care, the filling performs its function like a tooth and tries to be used in a healthy way for life. But besides all this, we can also encounter situations where the filling has fallen off or rotted again.
In this article today I tell you;
- Why does a filled tooth decay again?
- Why does the filling fall off?
- What can be done to replace the falling filling?
- What is the importance of anatomical filling?
- What advanced techniques can we use to save the tooth?
- How do we prevent the tooth filling from falling out? I’ll tell you in full detail.
Why Does the Dental Filling Fall Out?
1.Not completely cleaning the caries: The most important point when making a dental filling is to 100% clean the caries or caries under the filling. If even a small bruise remains, it may not give you symptoms, but this bruise continues to rot the tooth from the bottom and make bad breath. Result: The filling falls off after a short time or a new bruise forms under it. If you say, ”I had a filling, but six rotted again, or part of my tooth broke,” this is most likely the reason.
2.Tooth decay again: During dental filling, caries may start again when a micro-opening occurs at the boundaries of the filling that touch the tooth, that is, especially around fillings with edge leakage. This situation leads to a loss of hygiene of the place where the filling is made, an increase in plaque and tartar accumulation, food is stuck and therefore bacteria formation, causing the fillings to rot again. In addition, tooth decay is directly related to the habit of brushing teeth and flossing.
3.Structural loss of the tooth: If most of the tooth has been lost due to caries, the filling cannot hold on to the tooth alone. In this case, by placing aesthetic mini screws (Glass fiber posts or retention pins) inside the tooth and under the filling, we make a restoration that both the filling is solid and looks natural. You can think of the mini screws placed under the fillings as the columns of the building. If it is provided with columns to make the building resistant to earthquakes, mini screws are also made to strengthen the fillings.
4.Low-quality filling material: The quality of the filling material is directly related to the life of the filling in terms of the adhesive strength of the filling to the tooth. If the content balance of the composite resin is disturbed or a cheap and poor quality product is used, the filling cracks, breaks or falls off in a short time. In our clinic, we use only world-class, European-approved, long-lasting, aesthetic and biocompatible filling materials with high strength, viscosity and wear resistance.
5.The physician’s manual ability and technical knowledge: this is one of the most important elements that should not be ignored. Dec. Dental filling is an art. It is not only to close the gap, but to reconstruct the anatomical shape appropriate to the nature of the tooth. “We are building a structure that mimics the natural tooth, not just the filling.” – Prof. Dr. Birkan Taha Ozkan
For a specialist like me, who has been engaged in both surgical and restorative dentistry for many years, every filling is an engineering application.
6.Conditions for making the filling: The area where the filling is made must necessarily be dry. Saliva filling materials that come into contact with blood and moisture do not adhere to the tooth sufficiently. In addition, it is necessary to use the layering method in composite fillings and to place them layer by layer and to place them by hardening by light polymerization in each layer.
7.Bruxism and hard foods: Night tooth tightening (bruxism), hard-shelled foods, bad chewing habits can cause fillings to break and fall out.
Treatment Methods Applied for Falling Filling and Advanced Surgical Treatment Methods
As a dentist, my goal is not to pull out that tooth after the falling filling, but to save it. Here are the treatment options we have applied for this:
New, Anatomical Dental Filling
If the structure of the tooth is suitable, first all the caries is cleaned, then a dry environment is provided and the filling is renewed by creating layer-by-layer, correct contact and frame systems.
Mini aesthetic screws (pins)
If the firm tissue of the tooth has decreased and the filling cannot hold, we place special aesthetic mini pins (Glass fiber post or retention pins) inside the tooth to ensure that the filling adheres to the tooth more firmly. This method is especially vital for teeth with reduced enamel support.
Root canal treatment
If the filling has fallen out and the caries has progressed much further and reached the nerve (pulp) inside the tooth, it is no longer enough just to renew the filling. Root canal treatment may be required at this point. The infected nerve tissue inside the tooth is cleaned, the canal cavity is shaped and disinfected, then the canal is filled and a filling or crown coating is applied on it. By making a mini screw filling, the patient can also be protected from the coating.
Apical resection
In teeth where the root tip remains inflamed despite root canal treatment, it is possible to keep the tooth in the mouth by surgically cutting and cleaning the root tip. It is one of the dental rescue operations.
Reimplantation
It is the process of taking out a tooth that has a risk of withdrawal, but the root is intact, the inflammation is removed, and it is immediately put back in place after treatment. Only experienced surgeons can do it easily.
Hemisection
In very deep-rooted molars, only the problematic root can be removed and the other intact root of the tooth and the crown extension in the mouth can be kept in the mouth. Then, a 1-tooth-sized coating is applied on the solid root and crown, giving the patient a new tooth. In this way, it will be saved without tooth extraction and there will be no need for an implant.
I have saved many of my patients’ teeth with these advanced surgical methods. I used my expertise, patience and meticulousness in these transactions. Because every tooth is an organ, and it is valuable for every tooth to stay in the mouth.
If the Tooth Cannot be Saved with the Above Methods?
Despite all these procedures, if the root of the tooth has melted, cracked, and bone loss has occurred around it, unfortunately, it may be necessary to pull the tooth out. But remember that our priority is to extend the life of the tooth or save the tooth. Getting support from dentists who have both surgical and restorative equipment in this regard will be the right choice for you in the long run.
Why is Anatomical Filling Important?
All the fillings I apply in my clinic are based on the principle of anatomical filling. So:
* Establishes elbow contact (contact point) with neighboring teeth; does not allow the escape of food residue
* Anatomical shapes compatible with the opposite tooth, tubercles, grooves, fissures are formed; makes effective chewing
- The natural chewing surface and grooves of the tooth are restored; it does not contain food residues on the chewing surface and prevents bad odor
* Color harmony is ensured; composite filling is tried to be made in a color that cannot be distinguished from natural teeth
- Allows the use of dental floss to an ideal extent, but the food residue does not pass through
- Closes like a zipper like a key lock relationship, makes an effective grinding system, so the tooth cleans itself
Fillings made in this way are not only aesthetic, they are self-protective systems.
How Do We Prevent Tooth Filling From Falling Out?
Not only the doctor has the responsibility to prevent the fillings from falling, but also the patient. Here are the main points to pay attention to:
Brushing teeth with the right technique: The direction of brushing, duration and application pressure are very important. It should be conscious brushing, not random. I always personally show my patients the correct brushing technique.
Do not use soft brushes: Soft brushes are not always good. Excessively soft brushes do not completely clean the plaques and cause accumulation on the edges of the filling. For this reason, you can usually choose medium hardness toothbrushes routinely.
If there is a missing tooth, be sure to get it treated: if the tooth opposite the missing tooth does not work, it will rot over time. The expression ”non-functioning iron rusts” tells exactly this. If the filled tooth is not used, it begins to rot because it does not do its job.
Regular dental check-up: Check-ups every 6 months, or Check-ups as often as your dentist determines, are vital for early detection of caries.
Decongestant Decongestant and interface brush usage: In anatomical fillings, food residue does not escape between the fillings or between the teeth, but you still make the Decongestant a habit.
Conclusion: It is important not to do it in order to have a filling, but to Keep the Tooth alive and to be able to use it effectively in chewing. This can also be achieved with the Anatomical filling system
The important thing for me is not only to make fillings, but to be able to keep that tooth healthy and effectively chewed in the mouth for many years. In every application we make at our clinic in Mersin Yenişehir;
✔ Scientific information,
✔ Technical manual dexterity,
✔ Aesthetic details,
✔ Anatomical harmony is in the foreground.
It is very important that you are treated in the right hands so that your fillings do not fall off, do not rot again and have a long life.
Everyone who reads this article should know that:
Dental filling is not just to fill the gap.
Dental filling is performed with a combination of a physician’s knowledge, hand, and visual aesthetic taste.
If done well, the tooth will be saved. If it is done poorly, one main tooth can be lost every time.
In order to prolong the life of the filling in our clinic:
- We clean the bruises thoroughly,
- We use high quality filling materials,
- We do the dental filling in a dry environment, we do it by isolating it from blood, moisture and saliva,
- We use stratification technique, we get a color close to the natural tooth by taking care of the color tone
- We are moving forward using the layering technique, we harden each layer separately,
- We give natural dental anatomy; we give the main tooth shape to the dental filling with special hand tools and milling cutters,
- For the purpose of filling strength; if necessary, we use mini support screws (support pin or glass fiber post),
- In order to provide the shape and color tone of the filling exactly with the neighboring teeth; we use filling tubes with a wide color range.
-And thanks to this, we give confidence to the filling, although we cannot guarantee it according to ethical rules.
Conclusion: The Life of the Filling Starts in the Hands of the Physician, Lasts in the Hands of the Patient
If you want a filling to last a long time;
- The right material,
- The right technique,
* Experienced physician,
* Proper care, this quartet needs to come together. Dec.
Every filling is a solution, but a well-made filling makes its solution permanent without creating a new problem. Remember, it is more important to make the right filling than filling.
If you also say“ “Let my filling stay for many years, I want to reduce the risk of having problems.”…
You are in the right place, you can contact our clinic in Mersin Yenişehir, we can create an appointment without being late.