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Can a Cavity Fail?

Published in Dental Health 3 mins read

Yes, a cavity, or more accurately a dental filling placed to treat a cavity, can fail.

Understanding Filling Failure

While the cavity itself is essentially an area of tooth decay, the term "failure" usually refers to the dental filling that was placed to repair the cavity. A filling is meant to protect the tooth from further decay, however, it is not a permanent solution and can be subject to several issues over time.

Reasons for Filling Failure

Several factors can lead to a filling's failure. The reference provided specifically mentions recurring decay as a primary cause:

  • Recurring Decay: As highlighted in the reference, fillings can fail when the filling material no longer provides a tight seal against the tooth. This allows bacteria to penetrate the edge of the filling. These bacteria cause new decay to form under or around the existing filling. This is a common reason why a person might need a filling replaced.

Other Causes of Filling Failure

In addition to recurring decay, other factors that can contribute to failure include:

  • Physical Damage: Fillings can fracture, crack, or break due to trauma, biting on hard objects, or teeth grinding.
  • Wear and Tear: Over time, fillings can wear down from regular chewing and may no longer fit properly in the tooth cavity.
  • Material Degradation: Some filling materials can degrade over time, causing them to shrink or detach from the tooth structure.
  • Poor Oral Hygiene: Inadequate brushing and flossing can contribute to bacteria build-up around the filling, increasing the chance of decay.

Recognizing Filling Failure

Recognizing the signs of a failing filling is crucial. Some symptoms to watch for include:

  • Sensitivity to hot or cold temperatures
  • Pain when biting or chewing
  • Visible cracks or chips in the filling
  • A gap between the filling and tooth structure
  • Recurring decay around the filling

Table Summarizing Filling Failure

Factor Description
Recurring Decay Bacteria penetrates the filling, causing new decay
Physical Damage Filling is fractured, cracked, or broken.
Wear and Tear Filling wears down from regular chewing and no longer fits well.
Material Degradation Filling material shrinks or degrades.
Poor Oral Hygiene Inadequate oral hygiene leads to increased bacteria build up around the filling and contributes to decay.

What to Do if You Suspect a Filling Has Failed

If you suspect that a filling has failed, it’s crucial to visit your dentist as soon as possible. Prompt treatment can prevent further damage and potentially save the tooth. Depending on the specific situation, your dentist may:

  • Replace the failing filling.
  • Use a more permanent filling material.
  • Perform a root canal if decay has reached the nerve.
  • Extract the tooth, if damage is too extensive.

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