Why Is My Dentist Delaying Treatment for My Cavity? - Dentistry

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The doctor told me to wait until the cavity in my tooth gets bigger before performing a root canal?


Last year, I discovered a cavity in my front tooth (from the middle gap to a little bit inside the right front tooth).
I researched online and found that if the cavity hasn't reached one-third of the tooth, it may not require a root canal.
Currently, the cavity in my front tooth hasn't caused any pain, and every time I visit the dentist, I hope they can address the cavity because it's dark and unattractive, making me hesitant to speak or laugh.
However, my dentist keeps telling me that it will eventually need a root canal treatment, and they haven't addressed my front tooth cavity yet.
Why is that? Shouldn't a cavity be treated promptly?

Mimi, 10~19 year old female. Ask Date: 2016/04/02

Dr. Huang Zhicheng reply Dentistry


Hello, the earlier cavities are detected and treated, the better it is.
It is recommended to communicate well with your dentist.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/02

More Info


When it comes to dental treatment, particularly for cavities, it can be frustrating to feel like your dentist is delaying necessary procedures. Your concern about the delay in treating your cavity, especially when it is visible and affecting your confidence, is completely valid. There are several reasons why your dentist might be postponing treatment for your cavity, and understanding these reasons can help alleviate some of your concerns.

Firstly, it’s important to recognize that dentists often prioritize treatments based on the severity and urgency of dental issues. If your cavity is not causing pain and is not extensive (as you mentioned, it hasn’t reached 1/3 of the tooth), your dentist may believe that immediate treatment is not necessary. Dentists typically follow a conservative approach, especially when it comes to procedures like root canals, which can be invasive and require significant recovery time. They may prefer to monitor the cavity over time to see if it progresses before deciding on a treatment plan.

Another reason for the delay could be related to the dentist's assessment of the cavity's condition. If the cavity is small and not causing any discomfort, the dentist might suggest waiting to see if it develops further. This is often done to avoid unnecessary procedures and to preserve as much of the tooth structure as possible. However, this can be frustrating for patients who want immediate action, especially when aesthetics are a concern.

Furthermore, your dentist may have a treatment plan that involves addressing multiple dental issues at once. If you have other dental concerns that need attention, your dentist might be prioritizing those over the cavity treatment. This could be due to scheduling constraints or the need to manage your overall dental health comprehensively.

Communication is key in any patient-dentist relationship. If you feel that your concerns about the cavity are not being adequately addressed, it’s important to voice your feelings. You might consider asking your dentist directly why they believe the treatment should be delayed and express your desire to have the cavity treated sooner rather than later. A good dentist will appreciate your concerns and should be willing to discuss the rationale behind their treatment decisions.

If after discussing your concerns you still feel unsatisfied with the response or the treatment plan, it may be worth seeking a second opinion from another dentist. Different dentists may have varying approaches to treatment, and another professional might agree that immediate action is necessary for your cavity.

In summary, while it can be frustrating to feel like your dental treatment is being delayed, there are often valid reasons behind a dentist's decision to postpone procedures. Factors such as the severity of the cavity, the dentist's treatment philosophy, and the overall management of your dental health can all play a role. Open communication with your dentist about your concerns is essential, and if needed, seeking a second opinion can provide you with the reassurance and treatment you desire. Remember, maintaining your dental health is a priority, and you deserve to feel confident in your smile.

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