A filling may come away during eating or gradually break down, leaving a gap where food collects. The tooth can become sensitive and uncomfortable, but not every missing filling needs the same repair. Emergency Dentist Kensington offers a private emergency assessment to check the remaining tooth and discuss how to protect it. Contact us if you notice a new hole, broken restoration or pain in a previously filled tooth. If you are nervous about attending, let the team know when arranging your visit. You can explain what you find difficult, ask for a pause during the assessment and discuss the proposed care at your own pace. Bring any recent dental information you have, and mention allergies or changes in your medicines. The advice on this page is general; the instructions given by your treating dentist take priority.
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Understanding the problem
Daily chewing forces, grinding and wear can weaken an old filling. Decay may develop around its margins and undermine the supporting tooth. Occasionally the apparent lost filling is actually a piece of tooth that has fractured. Knowing whether the problem is the restoration, the tooth or both helps the dentist choose a repair that fits your needs.
When to arrange an assessment
Signs include food catching in a cavity, a rough edge, sensitivity or pain when biting. A tooth may feel normal at first, even though exposed tissue needs protection. Persistent aching or temperature sensitivity can suggest deeper irritation. Mention swelling, a bad taste or fever when contacting the team. Avoid repeatedly testing the gap with hard food or sharp objects, which can cause more damage.
Assessment and treatment options
The dentist examines the cavity and assesses any decay or crack, using an X-ray when appropriate. A replacement filling can restore a tooth with enough healthy structure. A temporary dressing may provide protection while further care is planned. When a substantial part of the tooth is missing, an onlay or crown may be more suitable than a large filling. Root canal treatment may be considered if the pulp is affected; removal is discussed only where a tooth cannot be reliably retained.
Your emergency appointment and fees
A private emergency appointment at Emergency Dentist Kensington costs £95 for a comprehensive emergency assessment with a dentist. The assessment helps establish the cause of your symptoms and the next appropriate step. Further treatment is charged separately, and the team will explain the proposed care and associated costs before you agree to it. Do not assume that a repair or procedure is included in the assessment fee. You can call 020 4652 9565 or use our online portal to check appointment availability.
Looking after your oral health
Check-ups allow restorations to be assessed before they fail. Clean twice a day with fluoride toothpaste and use an appropriate interdental method. Limit how frequently teeth are exposed to sugar, and avoid chewing ice or other very hard objects. If fillings repeatedly break, ask about bite forces or grinding rather than assuming the same replacement will always solve the problem.