Tooth with filling hurts years later
The dentist checks the filling margins, contact, bite and cracks, tests the pulp and supporting tissues, and takes an X-ray when indicated.
The short answer
A filled tooth that becomes painful later needs a fresh assessment because the original restoration does not rule out new decay, fracture or pulp inflammation.. Avoid chewing hard foods on that side, keep the area clean, and use labelled pain relief only if suitable for you.

What is the direct answer?
What does this question mean?
Avoid chewing hard foods on that side, keep the area clean, and use labelled pain relief only if suitable for you.
What can you do next?
Seek prompt care for spontaneous pain, lingering hot or cold pain, swelling, pain on biting, a broken filling or fever.
When should you seek dental care?
Ask whether the filling is leaking or high, whether the pulp is recoverable, and whether repair, replacement, root canal treatment or removal is needed.
Frequently asked questions
What is the most useful first step?
Describe the exact location, timing and triggers of the symptom so the dentist can target the examination.
Can home care replace an examination?
Home care can reduce irritation or discomfort temporarily, but it cannot correct a structural problem or remove an infection.
