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Can a filling be placed below the gum line

User Level:
Patient
Posted by: trinaD  (9 years ago)
Hi!

For the past few months, I’ve been having pain in my gum around tooth #20, which was root canalled 25 years ago. My regular dentist said it’s because of gingivitis and that I should see a periodontist. I was wondering how did this happen. I have a good oral hygiene; I brush three times a day, floss and rinse with mouthwash twice a day. Since I was not convinced with his findings, I went to another dentist for a second opinion. The new dentist said I have decay on the root canalled tooth below the gumline. He said he could open the gum and put a filling in. Is this common? Can a tooth be filled below the gumline? Please advise.
User Level:
Dentist
Hi!

For the past few months, I’ve been having pain in my gum around tooth #20, which was root canalled 25 years ago. My regular dentist said it’s because of gingivitis and that I should see a periodontist. I was wondering how did this happen. I have a good oral hygiene; I brush three times a day, floss and rinse with mouthwash twice a day. Since I was not convinced with his findings, I went to another dentist for a second opinion. The new dentist said I have decay on the root canalled tooth below the gumline. He said he could open the gum and put a filling in. Is this common? Can a tooth be filled below the gumline? Please advise.


A subgingival cavity would at least make sense as a diagnosis. Do you have gastric reflux, or a soda habit, that would explain the new decay?

If indeed you do have root decay, it would make sense to do gum surgery, do the filling with glass ionomer, then sew the gum up. I used to do this frequently in the Navy.
Posted 9 years ago
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