A member asked:

If filling fell out of tooth and no pain, does that mean no root canal needed?

12 doctors weighed in across 8 answers
Dr. Gary Sandler answered

Specializes in Dentistry

Unrelated: Whether or not a tooth requires root canal therapy is based upon the condition of nerve ; other tissues within the canal(s). Of the tooth. Pain is not necessarily a reflection of the health of the tooth ; nerve. Early treatment is essential. See your dentist for an evaluation.

Answered 5/13/2016

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Lost filling: The first question to ask is why the filling came out. If something broke then perhaps just replacing the filling will do. If there was decay then it can range from just a new filling to a root canal or a crown (or both) to, at the extreme, extraction followed by a replacement such as a bridge or implant. Your dentist can diagnose the problem and advise you.

Answered 7/30/2015

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See your dentist: If filling fell out and no pain doesnt mean no rct needed..May be just need to get new fill.. May be not depends if there is decay under the fill that was out..Sometime deep decay for long time can make tooth nonvital and you dont feel anything so the best way is to see your dentist..

Answered 11/16/2013

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Dr. Theodore Davantzis answered

Specializes in Dentistry

Not necessarily: People often equate no pain with no problem. That's just not true with any aspect of your body (high blood pressure and diabetes don't hurt, either). Your local dentist, after examining the teeth, will determine exactly what it needs to be restored properly. Please go before it does start hurting you.

Answered 11/16/2013

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That depends: That depends on the condition of the nerve tissue (pulp) inside the root and how much of the tooth is still intact. It is possible that you have no pain because the pulp tissue is fine. It is also possible that you have no pain because the pulp tissue is already dead. Dead tissue has no feeling and until an infection developers you would not yet have any pain. See your dentist for an evaluation..

Answered 11/16/2013

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Possibly: Absence of pain does not mean absence of infection. Could be filling or tooth broke and filling fell out. Could be tooth decayed next to filling and filling fell out. Best advice, please put the computer down and call your dentist to limit the extent of rx required. The more you procrastinate, the greater the risk.

Answered 12/19/2018

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Not necessarily: Fillings usually fall out due to underlying decay. If the decay extends into or very near the pulp, then the root canal is needed, regardless of the presence of pain. Because pain will eventually occur. If the filling came out for other reasons, then no root canal is needed.

Answered 7/10/2019

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Would only know: After being examined by your dentist. Why dis the filling fall out? How long has the filling been in place? Did part of the supporting tooth structure also break. How large was the filling? A host of questions. Best to see your dentist asap for evaluation and treatment. Hope this helps.

Answered 3/4/2016

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