A tooth seal broke out – what should I do?

People find it really comforting when caries has been treated for all the distresses are far away, money paid, no drilling noise, and they have some break before the next time at dentist’s. And what a disaster it is to discover that a tooth seal fell out, meaning the necessity to face the stress again so soon. Is there any way to never experience the case? And the answer is ‘Yes’, if the prospective triggers are excluded.


The most common of those are:

  • Cheap treatment. Quality dentist intervention can hardly be called affordable. For the reason people tend to visit clinicians who promise non-expensive solution for dental decay. But substandard materials (used to lower the cost) frequently result in wrong shrinkage of the filling, with microscopic voids between its margins and the tooth structure giving way for food debris, saliva accompanied with epithelial cells, soft plaque to store up and serve as a breeding ground for bacteria. The process gradually leads to dental tissue breakdown, with gaps enlarging to make the dental inlay drop up.
  • Excessive masticatory load exposure. Restoration material normally shrinks some time after the procedure without leakage. Since, note to limit the load on the treated part of the dentition to let the cement take its permanent position. Upon the breach of the order, even top-notch fillings fail having been exposed to irregular and/or excessive biting forces.
  • tooth seal fell out photoSecondary decay. There is a possibility of some early disorders to be missed for they are not visually discerned. But due to a negative impact on oral health they are likely to affect the service time of the restoration and consequently “A tooth seal fell out” complaint at dental office. For example, the early stage of amphodontitis, periodontal atrophy, encapsulation, and others may not be detected through modern diagnostic methods, and thus be overlooked. The dens continues to rot from root side to end up in immense carious cavity developed hidden under the restoration that will trigger the latter in or out.
  • Filling service expiration. Every item has a shelf life, and dental seals are no exception, with it being generally determined in the range of 4-8 years. This scope is wide enough to cover features of different teeth and their surfaces. That said, restorations on the back teeth and interdental spaces last long, whereas those on dental edges or corners proved to be the least reliable despite the best quality materials employment. The filling may stay in place and serve your needs several years after being expired. But it is equally probable to see a tooth fell out of tooth cavity a year earlier for being the subject to extensive load.
  • Diseases of bone or connective tissues. There are a number of diseases that increase the fragility of bone tissues (including hard dental ones) such as osteoporosis, osteomyelitis, etc. They may result in minor bite force causing a fracture or chipping. The restoration itself makes the tooth not that strong as a healthy one, and with the presence of the listed ailments its lifetime goes down extensively. Other diseases, such as periodontal atrophy, periodontitis, amphodontitis, indirectly affect the filling. They fault for high dental mobility, which significantly increases the risk of losing restoration and injuries for dentition when you chew.

What should be done when filling falls out?

There is the only true answer to the question and it is to visit your clinician who will determine the causes of the condition to provide replacement with consideration of existing risk factors. When you find it impossible to see your dentist for the first few days, you should take some precautions to minimize infection intruding to the exposed pulp through the open cavity.

A tooth seal fell out photoFor the purpose, you should provide proper oral care; rinse your mouth with clean water after every meal. Eliminate sweets, confectionery and carbonated drinks from your diet completely, for they arrange breeding ground for microbes and affect dental tissues.

If your tooth hurts after the restoration is lost, you may start taking tested anti-inflammatory nonsteroidal remedy (Nimesil, Ibuprophenum, Ketanov, Nise, Aspirin, etc.). Please consider allowed intake span of 3 days, then consult your dentist.
Before dosing, be sure to read provided instruction of medical use carefully to check if there are contraindications for your health.

If there are other pockets of oral infections (caries, gingivitis, etc.), traditional hygienic procedures should be completed with chlorhexidine or hydrogen peroxide rinsing to clean your mouth.


If you have your filling fallen out a few days or weeks after the procedure you will receive second drilling, disinfection, and drying of the cavity prior to the replacement. Your dentist may decide on another material or restoration method in case there is a necessity.

If a tooth fell out of the tooth is black inside after several months or years following restorative procedure, a preliminary x-ray survey, pulp sensitivity test, etc. may be ordered to exclude the presence of foci and inflammation or manage them. The second restoration is only possible after those activities are delivered.

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