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Treatment for Tooth Decay Under a Filling If the decay is small, it is possible to remove the filling, treat the cavity, and place in a new filling. However, if the decay has progressed significantly, a dental crown may be required if there isn't enough tooth structure to hold a new filling.
Dental X-rays can be taken to evaluate the teeth for decay under dental fillings or even between teeth. If a filling has failed or decay is detected on the X-rays, the fillings will have to be replaced. If the recurrent decay is extensive, a dentist may need to use a crown to replace the filling.
How an interproximal cavity is treated depends on the severity of the decay. If caught early, we would administer a local anesthetic, drill out the decay, and place a filling. However, if the cavity has been left untreated for too long and decay is severe, we may need to perform a pulpotomy or an extraction.
Generally, dental experts suggest that it takes about 24 hours for a filling to settle down. The stakes are higher for metal-based dental fillings like amalgams or gold fillings.
Here's the short answer: No. Most fillings cause little to no discomfort during any part of the procedure. This is a result of using highly effective numbing agents.