I have been following my dentist’s instructions throughout my Invisalign treatment. I’m not quite halfway through my nine tray treatment plan. My big goal was to have the gap in my front teeth closed. One of my molars was really starting to hurt and the dentist recommended that the filling be replaced. He actually put in a temporary material. This step was supposed to calm the nerve down and make sure there wasn’t anything else that needed to be done to the tooth. Well, that was yesterday and today my tooth is killing me. Is it my Invisalign that is irritating it? Maybe the pain will subside and I just need to give it time. At this point, I’m not sure I can deal with it much longer.
– Pam in Colorado
It is not uncommon for Invisalign patients to deal with minor tooth pain and sensitivity. This also holds true for traditional orthodontics. This is mainly due to the pressure that is being applied to the teeth to reposition them. Typically, it is the gum tissue that surrounds the tooth that stretches and is the source of the discomfort. This could be what is troubling your molar.
Although, since there was a temporary filling material placed, it is possible that the tooth may require further treatment. It is possible that the tooth with the old filling may have a crack in it. Or if the seal was no longer sufficient from the old filling, sometimes food particles or bacteria can seep down into the filling area. Tooth decay around the filling could be increasing. So the temporary filling will buy the dentist some time to see if the pain subsides. If the decay has reached the pulp of the tooth and the pain does not go away, you may need to have a root canal treatment done. The dentist will conduct an x-ray of the tooth to see if there is any infection present inside the tooth.
If the tooth recovers and there is no infection present, the temporary filling material will be replaced with white composite.
So the bottom line is that the Invisalign may have contributed to your toothache. Or it could be that the this same toothache would have occurred even if you weren’t doing Invisalign. Only time will tell.
This post is sponsored by York PA dentist Donald H. Currie, DMD General & Restorative Dentistry.