During a meal when eating and drinking you hear a crunch and feel with your tongue there is a hole in one of your teeth, it’s possible that a dental filling fell out.  The tooth may feel sensitive to cold, and it would be suggested to call your family dentist.

What are some possible reasons a dental filling fell out?

  1. There may have been a cavity underneath the filling, and the eating pressure dislodged the filling, causing it to fall off.  It’s also possible part of the tooth may have broken off.  This may be due to high caries and high decay risk.
  2. The original dental filling may have been on the bigger size.  A dental filling tends to work best when it is small; when a filling gets too big, it may not be able to bear the eating pressure.
  3. The patient may be a nighttime or daytime grinder and have pronounced bruxism habit.  Constant grinding and chewing may cause fillings to fall out and dislodge.
  4. When the filling was originally done

What are some signs and symptoms that a filling fell out?

  1. The tooth may now have a hole and a concavity, causing food to get stuck in the tooth.  If the food is stuck in the tooth too long, a cavity may develop and cause further damage to the tooth.
  2. The tooth may be sensitive to cold and hot
  3. Part of the tooth may feel sharp and jagged to the tongue

Treatment options for a dental filling that fell out

Your dentist may take a few x-rays to help assess the condition of the tooth and evaluate for possible dental decay. At this point some options may be to:

  1.  Do a new dental filling
  2. If the tooth structure is compromised where a dental filling is not ideal, a crown may be indicated.
  3. If the nerve is exposed or if the tooth has severe lingering pain and sensitivity, a root canal may also be indicated.
  4. If an excessive amount of tooth is damaged, the tooth may need extraction and possible future implant.

If you have any questions on why a dental filling may have dislodged, be sure to contact your family dentist for advice.