Emax inlay feels rough after 2 years with recent dull pain after chewing. How often should it be polished intraorally? (Photos)

2 years ago I had an Emax A1 HT inlay placed in the upper right second molar. In the past few weeks only I have been getting a dull light pain after chewing - tooth is not sensitive to hot or cold. Is it likely that the dull pain is due to a slightly high bite? Also, the surface of the Emax inlay has recently become very rough to the tongue (and slightly more yellow). Can this be re-polished using air abrasion or does polishing Emax intraorally require specialist tools and materials? Thanks.

Doctor Answers 2

Emax inlay rough after 2 years #DrSarahThompson #STL

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Sounds like the inlay may be fractured.  I would suggest going back to the same dentist and seeing if s/he can examine the inlay.  If you were my patient and you fractured an inlay within only 2 or 3 years, I would replace it for free.  However, every office is different and you cannot expect every doctor to have the same polices.  

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Emax Inlay Feels Rough

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It is unlikely that the surface of an Emax restoration will become rough from normal wear and tear, and even if it did, that would not explain the dull pain. If the bite was high, you would have noticed it soon after the placement of the inlay. What may have happened is that there was a fracture at the margins and possibly loosening of the inlay. As far as discoloration, surface staining may have occurred and polishing by your dentist will alleviate this. See your dentist as soon as possible for a proper evaluation. Best wishes!

Prince Arrington III, DDS
Boca Raton Dentist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.