What to do when a temporary filling falls out: 5 recommendations

February 24, 2020

Some patients, literally a few days after treatment at the dentist, discover that their temporary filling has fallen out. The situation is unpleasant, but not critical, and it is important to know what to do next in order to avoid subsequent complications. The editors of the UltraSmile.ru portal, based on the recommendations of experienced doctors, have prepared material on how to act in this situation, what the consequences of inaction are and whether it is possible to somehow protect yourself from such a problem.

Indications for installing a temporary filling

Some patients are sincerely perplexed and consider temporary filling an unnecessary measure. However, in fact, this is a very important stage in the treatment of teeth affected by deep caries, pulpitis, periodontitis, as well as in the presence of abscesses, cysts and granulomas.

The photo shows a temporary filling

The doctor resorts to temporary filling if it is not possible to carry out treatment in one stage or the inflammation needs to be eliminated. They also resort to a temporary solution while stump inlays and permanent prostheses are created for the patient in the laboratory. The filling serves as protection against external factors and bacteria. It prevents medications and antiseptics from coming out, which are placed inside the root canals and have a therapeutic effect.

“The doctor gave me a temporary filling just to see how the tooth would behave and whether complications would begin after treatment of deep caries. I carried it for about 5 days with severe pain, and then it fell out, after which the doctor said that we would remove the nerve from the tooth...”

Nadezhda, review from yell.ru

What to do if a temporary filling falls off?

Modern dentists in practice always adhere to the basic principle - you must try to save the tooth at all costs, and take any possible methods to restore its integrity and functionality, even in cases where the tooth is very problematic. In some rather complex clinical cases, it may take a little longer to cope with them. In such situations, treatment will involve several temporary stages, requiring two or more visits to the dentist. In order to protect the exposed tooth until the next visit to the doctor, a temporary filling will be required.

A temporary filling is usually installed in case of deep caries, when the inflammatory process affects the root canals, as well as in case of pulpitis. Such a filling is a special composition that is used to temporarily close the canals or cavity in the tooth in order to ensure protection and tightness of the opened cavities. At your next visit to the dentist, the temporary filling will be easily removed, after which the doctor will be able to continue to carry out the necessary medical procedures.

At its core, a temporary filling differs from a permanent filling in that it is not able to withstand constant or increased chewing load. Therefore, walking with her for a long time is unacceptable. Upon completion of treatment procedures, the temporary filling must be replaced with a permanent one.

How long do you need to wear a temporary filling?

Depending on the goals and clinical situation, it can remain in the oral cavity from 1 day to several months. For example, if arsenic was placed under it, with the help of which the nerve in the tooth is killed, then its removal is carried out within 1 to 7 days after installation.

If the “temporary” was installed to sanitize the canals before permanent filling, to treat an inflammatory process in the roots or in the pulp, then it can stand for several weeks or longer. Moreover, during each subsequent visit to the clinic, the doctor can replace one temporary filling with another, and put fresh medicine inside until the inflammation goes away. Sometimes treatment takes about six months.

What to do if for some reason (due to the patient’s negligence or mistakes made by the doctor) the filling material falls out?

Why do fillings fall out?

The main reason is poor material used to fill the canal or insufficient qualifications of the dentist who performed the treatment.

Why do teeth break off along with the filling:

Wrong choice of materials. Using cheap cement. The filling falls off, and bacteria penetrate into the microcracks, causing the development of pulpitis, caries, and periodontal disease.
Illiterate canal filling. If installed incorrectly, cracks appear and microbes and food penetrate inside the tooth, which leads to caries.
The molars were processed poorly. If a tooth breaks off along with a filling, this may indicate improper cleaning of the surface from carious formations.
Incorrectly performed preparatory stage, treatment. The molar cavity is not sufficiently dry and is treated with a solution.
Thin dentin and enamel due to lack of calcium.
End of service life of filling material.
Solid food, candy, seeds, the habit of chewing a pencil, pen. Constant mechanical impact negatively affects the condition of molars.

Attention! If a filling breaks, this may indicate poor oral hygiene. Deposits and plaque formed in the absence of brushing the teeth contribute to the accumulation of pathogenic bacteria and lead to the development of caries.

Tip #1: Rinse your mouth thoroughly

If a temporary filling came out, then most likely there was a medicine underneath it (preparations based on calcium hydroxide, antibiotics, antiseptics and antimicrobial agents1), the purpose of which was to influence the diseased tooth and its canals from the inside. Under the filling materials there may also be a devitalizing paste based on arsenic.

It is important to rinse your mouth thoroughly

Medicines are covered with temporary materials not only so that they cannot leak out or be washed out by saliva and liquid, but also to protect the body from possible negative effects. For example, the same arsenic is toxic; after ingestion, it can cause poisoning, gastrointestinal upset, an allergic reaction and a rash. If the medicine comes out of the cavity and gets on the mucous membrane, this can lead to tissue irritation or burns.

To prevent the spread of medicinal compounds to the mucous membranes and their ingestion, thoroughly rinse the mouth with any antiseptic solution (for example, Chlorhexidine).

If a temporary filling falls out while eating food, do not swallow the food that was in your mouth at that moment, but rather spit it out.

Tip #2: Don’t rely on recommendations from online forums

A temporary filling has fallen out and you don’t know what to do in this situation? First of all, give up the idea of taking advantage of the dangerous recommendations of some Internet users. Under no circumstances should you do the following:

cover the resulting cavity with chewing gum: you can introduce infection inside,
pick out the remains of the filling and the medicine inside with a needle or other sharp objects: there is a high probability of damage to the soft tissues of the oral cavity. During the manipulation, there is a risk of breaking the needle, and it will be impossible to pull out the fragment on your own, which will lead to the development of inflammation. The use of sharp objects is fraught with the exact opposite effect - you will drive deeper the remains of the medicine and bacteria from the external environment,
put antibiotics or tablets inside yourself: this can increase the pain and worsen the condition of the pulp, dentin and surrounding tissues.

Don't pick your teeth yourself

Tip #3: When eating, cover your tooth with cotton and don't chew on it.

Remember that in the absence of a temporary filling, the internal cavity remains defenseless against bacteria and small pieces of food. If food particles get into the root canals, it will be difficult to remove them, they will begin to rot, which will lead to an inflammatory process and the need to re-treat the canals. To protect the tooth from such a problem, before eating food, apply a sterile bandage or a piece of cotton wool to the opened cavity. For the same purpose, try to chew on the opposite side of the jaw.

A temporary filling is not only a “lid” that tightly closes the medicines inside, but also protection from external influences and damage. If the material falls out, the tooth becomes vulnerable, it is susceptible to bacteria and any mechanical stress, and can chip and break off. For this reason, you should also avoid chewing food (especially hard food) on a sore tooth. The thinner the tooth walls and the larger the size of the prepared cavity, the greater the likelihood of tissue destruction.

After each meal, it is important to rinse with antiseptics to “neutralize” bacteria living in the oral cavity and wash away food debris. If this is not done, then after removing the fleece, all this may end up inside an open cavity.

How long can you walk without a filling and what to do if it falls out?

You need to make an appointment with a doctor as soon as possible. This is especially true if the tooth hurts after the filling has fallen out. If you still cannot visit the office, you should follow a number of simple rules before doing so. This will help minimize harm and avoid complications.

Do not put pressure on the tooth or chew hard foods on it.
It is better not to chew on a damaged tooth at all.
The oral cavity can be rinsed with chamomile decoction, soda and saline solutions at a comfortable temperature.
Be extremely careful when brushing your teeth, do not put a toothpick or other sharp objects into the hole.

During the examination, the dentist will determine the cause of the problem and will be able to eliminate the problem as quickly as possible.

Tip #4: Take pain medication

Immediately after installing a temporary filling, many patients complain of pain. Most often, the pain in the first hours and days is associated with the preparation of tissues and the fact that the medicine put inside has not yet fully worked, has not coped with the inflammatory process, and has not killed the pulp (if a devitalizing composition has been used). But if the material falls out, the pain usually intensifies. To eliminate it, take an analgesic from your home medicine cabinet, such as Nurofen or Ketanov.

Take a painkiller to relieve pain

Under no circumstances place an Aspirin or Analgin tablet into the tooth cavity, as some Internet sources advise! You can cause irritation, swelling and burns of the tissue, which will lead to an even more severe pain reaction.

To reduce pain, you can also use decoctions of chamomile and sage, a solution of soda and salt.

A filling fell out: special reasons for women

In addition to the above factors, the destruction of fillings in women can accelerate for two reasons:

menopause - due to impaired calcium absorption, bones and teeth lose strength;
expecting a child - all nutrients are used for the development of the fetus, so pregnant women often lose fillings, and then their teeth very quickly collapse.

The fact that pregnant women cannot have their teeth treated is an unacceptable misconception. On the contrary, expectant mothers need to eliminate all foci of infection, including caries. The anesthetics used do not harm the child, the treatment is completely painless. However, it is advisable to carry out dental treatment in the second trimester of pregnancy.

Tip #5: See a doctor immediately

A temporary filling fell out: what to do? The only right decision is to make an appointment with a doctor as quickly as possible, even if you visited him a few days ago and a return visit was not part of your plans.

Remember, a temporary filling is evidence that the tooth has not yet been fully healed or restored. If it falls out, this increases the risk that you will then have to start a long, expensive treatment all over again or be left without a tooth altogether. If the infection in the root canals is not completely destroyed at the time the temporary material falls out, then it can easily spread to neighboring units and tissues and move through the circulatory or lymphatic system to internal organs.

You should contact your dentist as soon as possible

In the absence of measures, the likelihood of the crown chipping and its complete destruction, injury and damage to the mucous membrane increases (after all, after the materials fall out, the resulting cavity may have sharp edges).

Filling falling out during pregnancy

When a temporary filling falls out during pregnancy, this is a reason to urgently consult a dentist. Many women worry that treatment may negatively affect the course of pregnancy. Women carrying a child are certainly at risk, but doctors are well aware of the acceptable limits of exposure. If necessary, the doctor will select the optimal method of intervention so as not to harm the body.

You need to treat your teeth anyway. Carious lesions are an ideal environment for the development of pathogens that can cause much more harm to a pregnant woman than the process of restoring a diseased tooth.

If a filling falls out at the end of pregnancy - in the 3rd trimester, the doctor may postpone treatment if serious intervention is necessary to restore the tooth. In most cases, the specialist will make do with minimal temporary treatment, and will carry out complex measures carried out under anesthesia after childbirth.

Measures to help prevent temporary fillings from falling out

In order not to think about what to do if a temporary filling falls out, try to prevent such a situation after its installation. To do this you need to adhere to the following rules:

in the first 2 hours after installation, refrain from eating any food so that the materials finally harden and acquire the desired shape,
exclude hard foods, nuts, and sticky foods from your diet: temporary fillings are softer than permanent fillings, they can easily crumble, break off or fall out,
try to chew on the side opposite to the one where the treatment was carried out,
refuse to use irrigator and floss in the area of localization of temporary materials,
Carefully inspect the seal every day for chips and cracks: if even small leaks appear, you should consult a doctor.

Eliminate solid foods from your diet
As you can see, there is nothing difficult about keeping a temporary filling in place. If it falls out before the scheduled visit to the dentist, then there is nothing to worry about in this situation, provided that you act correctly and do not put off going to the doctor for a long time.

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dental fillings

Fedorinchik O.V. Frequency of use of calcium hydroxide preparations by dentists in the treatment of complicated caries. – Modern dentistry, 2011.

Expert “A temporary filling is not intended for long-term use, so if the doctor installs it, he must inform the patient when the next visit to the clinic needs to be made for removal or replacement. But not all people come on the appointed day, some postpone the issue for a week or even longer - and this explains why the integrity and tightness of the material is gradually being compromised.” Dentist-therapist Elena Vladimirovna Orlova

Consulting specialist

Orlova Elena Vladimirovna

Doctor rating: 9.5 out of 10 (2) Specialization: Dentist-therapist Experience: 33 years

Types of dental fillings and their reliability

Depending on the period of use, materials can be permanent or temporary. The first ones have been used for a long time. The base is safe, durable, and has good aesthetic characteristics. Temporary fillings are installed only for the period of treatment along with medications.

Based on materials, the base can be of the following types:

Cement. No special tools are needed during installation; even a novice specialist can perform the work. Disadvantages - the initial volume, and the shape is quickly lost, susceptibility to mechanical stress.
Plastic. The material hardens quickly. The filling is durable and can be used for a long time; the shade matches the color of natural enamel. Disadvantage: rapid deformation.
Amalgam. Rarely used due to low aesthetic characteristics. But thanks to the large amount of metal in the material, they last a very long time.
Ceramic. The durable base is not subject to mechanical stress and temperature fluctuations, retains its color and shape.
Photopolymer. The material is plastic, has good aesthetic characteristics, and quickly adheres to molars.
Glass ionomer. Used in children's clinics. They prevent the reappearance of carious formations, provide good adhesion to molars, are easy to install, and have a low degree of shrinkage. Disadvantage: low strength.

On a note! If a piece of a tooth breaks off, you need to consult a doctor, who will select the type of material to close the canal and restore the shape of the molar. Here everything will depend on the patient’s capabilities, characteristics of the body, and oral cavity.

Comments

The doctor recently put in a temporary filling, told me to come back only in a week, but the tooth underneath it hurts very much, I can’t stand it, I’m very, very nervous... Is it possible to somehow pull it out ahead of time?

Kira (03/02/2020 at 00:55) Reply to comment

Editorial staff of the portal UltraSmile.ru (03/11/2020 at 09:04) Reply to comment

If you followed all the recommendations of your dentist, but the temporary filling still fell out, then this is a reason to think about changing your dentist. I think so. Where is the guarantee that he will then install the permanent one poorly?

Pavel (03/20/2020 at 10:07 am) Reply to comment

Good afternoon I once had a tooth crumble and its treatment took several days. They gave me a temporary filling and told me not to eat for several hours so that everything would harden. The remains of the tooth did not hurt under the temporary filling, since my nerve was removed, but if they put a temporary filling on the tooth where caries was treated, how to avoid pain?

Dmitry Ch. (03/20/2020 at 11:29 am) Reply to comment

At the appointment, the doctor began treatment and placed a temporary filling. The next visit was scheduled in five days. But the tooth began to bother me in the evening after visiting the doctor. Tell me if you need to see a doctor earlier than the appointed day

Svetlana (03/20/2020 at 11:56 am) Reply to comment

Tell me, if the temporary filling fell out over the weekend and my doctor doesn’t have an appointment for the next few days, will I have to walk around with cotton wool in my tooth? Maybe there is some special remedy for the time being?

Maria K (03/20/2020 at 12:12 pm) Reply to comment

My son is 10 years old. They put a temporary filling with medicine, the doctor told me to come back in 10 days. 5 days have passed, the tooth hurts. What should we do when we go to remove the tooth?

Tatyana (03/20/2020 at 01:03 pm) Reply to comment

Hello. I would like to know the opinion of a professional, because different doctors answer my question differently. Back in the days of the Soviet Union, I was given a filling. It does not have a very aesthetic appearance, it is dark in color and those who are not in the know always point out to me that the tooth needs to be treated. Do you think it’s worth changing it if the tooth itself doesn’t bother you and the filling is done, as they say, to last forever. Or is there some modern way to simply cover up the color of the filling? Best regards, Asya.

Asya (03/20/2020 at 14:01) Reply to comment

This is terrible, I swallowed a temporary filling, what will happen now?

Tatyana (03/22/2020 at 06:14 pm) Reply to comment

Editorial staff of the portal UltraSmile.ru (03/27/2020 at 09:27) Reply to comment

Good afternoon Please tell me, four days ago I got a temporary filling. At first everything was fine, but a couple of days ago my tooth started to hurt horribly. I called the clinic and they told me that there was nothing wrong with it and that you would come for an appointment in 6 days. I wanted to know if this is normal or is it better to go to another doctor? Because I don’t understand anything at all about dentistry.

Yana (04/23/2020 at 07:42) Reply to comment

Please specify what is the maximum service life of a temporary filling? My husband was given a temporary filling and an appointment was scheduled for only a month later. Now I’m worried whether wearing it for such a long time will have a negative impact, because about ten years ago my colleague delayed her visit to the dentist after installing a temporary filling, which led to tooth extraction.

Victoria (04/23/2020 at 07:53) Reply to comment

Why does a temporary filling still fall out, even if the patient was careful and followed the dentist’s advice? Maybe, among other things, there is some kind of rejection by the body of the materials that make up its composition?

Dmitry (04/23/2020 at 08:56) Reply to comment

Hello, what could be the reasons for a temporary filling falling out? Unprofessionalism of the doctor? Or something else more significant? Is it true that a temporary filling is harmful to the body?

Mikhail (04/23/2020 at 09:09) Reply to comment

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Why did the filling fall out of the tooth?

There are several reasons for this: the unqualified actions of the doctor who installed the filling, the mistakes of the patient himself, and factors independent of either one or the other.

Medical errors

It would not be surprising if an old cement filling fell out. This material hardens quickly; when filling, the doctor does not have enough time to thoroughly fill the microscopic voids. Therefore, dentists at the First Family Clinic of St. Petersburg recommend photopolymer (light) fillings that dry under the influence of a UV lamp. This sealing ensures high tightness and rarely falls out.

However, sometimes light fillings also fall out, mainly when visiting an inexperienced dentist.

The carious cavity is not sufficiently cleaned of damaged tissue - secondary caries develops, the filling falls out, and the tooth inside is black.
Using low-quality filling material - due to rapid shrinkage, the filling becomes movable.
Before filling, the cavity in the tooth was not sufficiently dried - the adhesion of the filling material to the tooth is disrupted.
Insufficient grinding of the filling - excessive grinding increases the load on the filling when chewing.
Violation of the technology for installing a light filling - too thick layers of heliocomposite or insufficient exposure to a UV lamp reduces the strength of the filling.

Important! Get your teeth treated only by qualified dentists. Read patient reviews of their work. This way you can avoid repeated treatment and unnecessary worries about it.

Patient mistakes

Sometimes the patient himself provokes the destruction of the filling.

I did not follow the doctor’s recommendations after dental treatment (I ate and chewed gum immediately after treatment, and as a result, the filling fell out the next day).
Didn't brush your teeth enough or, on the contrary, brushed your teeth too hard.
He enthusiastically chewed toffee and caramel.
He chewed nuts, constantly cracked seeds, and opened bottles with his teeth.
Instead of a toothpick, I used a match, a needle or other hard objects.
I did fasting without consulting a doctor (all fillings fell out due to total hypovitaminosis).

Most often, large fillings fall out, between the teeth, on the front tooth, the chewing surfaces of “fours” and “fives” (they receive the maximum load when chewing) and fillings installed during the treatment of cervical caries. The patient's rash actions lead to the destruction of even a well-installed filling.

Important! Can a filling fall out due to chewing gum? Yes maybe. Chewing gum lasts for 5 minutes. Chewing gum for 2 hours or more significantly increases the load on the filling.

Other reasons for a filling to fall out

Often, it is neither the doctor nor the patient’s fault that a filling falls out.

The expiration date has expired - fillings do not last forever, on average they last 5-7 years.
A blow to the jaw - in an accident or a fight, the filling often breaks off along with part of the dental crown.
Parents have bad teeth - weak enamel is often genetically determined.
Chronic dental diseases - periodontitis, periodontal disease.
Other pathologies are osteoporosis, diabetes, urolithiasis, lack of calcium and vit. D.

Patients with these diseases often complain of frequent fillings falling out for no apparent reason.