Losing a filling can be a distressing surprise — especially if the filling was large. The exposed tooth is vulnerable and needs protection, but the good news is that a lost filling can usually be replaced if treated promptly.
Immediate Steps
Retrieve the filling if possible — rinse it under cold water and keep it in a clean container. Bring it to your appointment, as it can help us understand what happened.
Assess the tooth — if you can see inside the tooth, you may see a pinkish or dark area (the pulp or nerve). If there's visible pink tissue or significant bleeding, the nerve may be exposed. This is a more urgent situation.
Protect the tooth — temporary dental cement (available from pharmacies) can be pressed into the cavity to cover the exposed surface until you can be seen. Do not use household glue. Avoid chewing on the affected side entirely.
Manage pain and sensitivity — the exposed dentine will be sensitive. Avoid very hot, cold, and sweet foods and drinks. Over-the-counter ibuprofen can help with pain and inflammation. Salt water rinses can keep the area clean.
When to Call
Call us the same day if the filling loss has exposed the nerve (you'll see pink tissue inside the tooth), if there's significant pain or bleeding, or if the remaining tooth structure feels sharp or fragile. For a straightforward filling replacement where the nerve is not exposed, an appointment within a few days is appropriate.
If the tooth has been sensitive to temperature or sweets before the filling fell out, the tooth may already have nerve involvement — this makes prompt treatment even more important.
If any of this sounds familiar, book an assessment with us. The sooner we take a look, the simpler the treatment is likely to be. Call the practice on 01323 723757 or book online at www.meadsdental.com.