How to Differentiate Between Cavities and Stains on Your Teeth - Dentistry

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Cavity issues


If there are several small black spots on your teeth, how can you distinguish whether they are pigment deposits or cavities, especially since the dentist did not recommend fillings? If there are cavities between your teeth and the dentist says it's not serious, but you are concerned about the size of the cavities, should you consider switching dental clinics? Additionally, if your gums are uneven and you want to smooth them out, is it possible to have that done?

Shen Xiaojie, 10~19 year old female. Ask Date: 2016/04/10

Dr. Huang Zhicheng reply Dentistry


Hello,
1.
Pigmentation can gradually decrease with reduced consumption of coffee, tea, and tobacco, along with regular brushing.

2.
An uneven gum line needs to be smoothed out, and a diagnosis should be made based on your occlusion.

3.
If you wish to proceed with treatment, you may ask your dentist to take X-rays for further evaluation.

Wishing you safety and health,
Dr.
Huang Chih-Cheng,
Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2016/04/10

More Info


When it comes to differentiating between cavities and stains on your teeth, it is essential to understand the characteristics of each condition. Cavities, also known as dental caries, are areas of decay on the tooth surface caused by the demineralization of enamel due to acid produced by bacteria in the mouth. Stains, on the other hand, can be extrinsic (surface stains) or intrinsic (stains within the tooth structure) and are often caused by dietary habits, smoking, or certain medications.

Identifying Cavities vs. Stains:
1. Visual Inspection: Cavities typically appear as dark spots or holes in the teeth. If you notice small black dots that seem to penetrate the tooth surface, they may indicate cavities. In contrast, stains usually appear as discoloration on the surface of the enamel and do not penetrate into the tooth structure.

2. Texture and Sensitivity: Cavities often lead to changes in texture; the affected area may feel rough or sticky. If you experience sensitivity to hot, cold, or sweet foods in the areas where you see the black spots, this could indicate a cavity. Stains generally do not cause sensitivity.

3. Professional Evaluation: The best way to determine whether you have cavities or stains is to visit a dentist for a thorough examination. Dentists can use tools such as X-rays to see beneath the surface of your teeth and identify any decay that may not be visible to the naked eye.

Concerns About Treatment:
If your dentist has indicated that the cavities are not severe and does not recommend immediate treatment, it may be due to the extent of the decay. However, if you feel uncomfortable with the diagnosis or the treatment plan, it is entirely reasonable to seek a second opinion from another dental professional. Different dentists may have varying approaches to treatment, and it’s important to find one whose recommendations align with your comfort level.

Regarding Uneven Gums:
If you are concerned about uneven gums and are considering cosmetic procedures to make them more even, it is possible to address this issue. Procedures such as gum contouring or gingivectomy can be performed by a periodontist or cosmetic dentist to reshape the gum line. However, it is crucial to have a thorough consultation to discuss your goals and the potential risks and benefits of the procedure.

Conclusion:
In summary, distinguishing between cavities and stains involves careful observation of the characteristics of the spots on your teeth, as well as professional evaluation. If you have concerns about your dental health or the treatment recommendations you’ve received, don’t hesitate to seek a second opinion. Your oral health is paramount, and finding a dentist who you trust and feel comfortable with is essential for maintaining your dental well-being. Always prioritize open communication with your dental care provider to ensure that your concerns are addressed and that you receive the best possible care.

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