Dealing with Cavities Between Front Teeth: A Patient's Journey

Cavities in the gap between the front teeth?

Hello, doctor: About six months ago, when I visited the dentist, I had a slight cavity in the gap of my front teeth.
The dentist at that time said it needed to be cleaned.
During the procedure, the pain was unbearable, and I was repeatedly told not to move as it was dangerous.
However, I couldn't help but move due to the pain; it was a natural reaction.
I requested anesthesia, but he told me it was just a little and that I should endure it.
I was really at a loss for words.

After three to four months, I had a deep cavity in my molar, but it wasn't painful yet.
However, due to childhood trauma, I was very scared, so I wanted to address it early.
I went to a large hospital (Xiaogang Hospital) to see a dentist, and that dentist also mentioned that my front tooth gap needed cleaning.
This doctor did administer anesthesia, so I didn't feel much during the procedure.

I continued to see the dentist at Xiaogang, but the dentist there suggested that I consider getting braces, saying it would be better for my dental health in the long run.
However, the initial adjustments for the braces took a long time, and I was in pain because my bite was causing me to bite my cheek.
He told me I had to wait a month for the next appointment.
Unable to endure the pain, I sought treatment from a nearby dental clinic (Fenghua Dental Clinic in Linyuan).

Later, I also got my braces there.
Before getting the braces, the dentist at Fenghua also mentioned that I needed to address the cavity in my front tooth gap.
I found it strange that I had to deal with it again, but this dentist also proceeded without anesthesia, which was extremely painful! At least this dentist and the nurse were gentle, telling me it would be a bit uncomfortable and to bear with it, which helped me cope a little, but it was still very painful.

During this visit, I noticed the nurse used a light to examine my teeth, and later during the braces adjustment, I realized that the light was likely for fixing the braces.
Now that I have the braces, I am very diligent about cleaning my teeth.
Recently, I discovered some small black spots in the gap of my front teeth (two spots, one very close to the gum and the other in the gap).
I noticed that the tooth seems to be splitting, and it feels like there is a gap in the front tooth itself, which is sharp.
(I hope this explanation makes sense to you, doctor.)
After noticing this, I became very worried because I already have braces, and I'm unsure if it can be treated.
The time to remove the braces is still two years away, and I'm afraid it will get worse.
I would like to know your advice so that when I return for a follow-up, I can ask the right questions and not be brushed off by the current dentist.
Thank you very much!

Cao Xiaojie, 20~29 year old female. Ask Date: 2018/11/17

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Tsao,
Hello! Regarding your concerns about the cavities between your front teeth, it seems to be troubling you.
The cavities may be small and prone to falling out; the dark spots could sometimes be at the junction of the filling resin or could indicate further decay.
It is advisable to have a dentist examine them.
Generally, if you experience sensitivity or notice dark spots, do not hesitate to ask your dentist for a thorough examination.
Please communicate openly with your doctor.
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/11/17

More Info

Dealing with cavities, especially between front teeth, can be a challenging experience for many patients. Your journey highlights several important aspects of dental care, including the need for effective communication with your dentist, the importance of pain management during procedures, and the potential complications that can arise during orthodontic treatment.

Firstly, it’s crucial to understand that cavities, or dental caries, can develop in any area of the mouth, including between teeth. These areas are often harder to clean and can trap food particles and bacteria, leading to decay. When you first noticed the cavity in your front teeth, it was essential to address it promptly. The pain you experienced during the initial treatment could be attributed to the sensitivity of the area and the nature of the procedure. It’s unfortunate that your first dentist did not provide anesthesia, as this could have made the experience much more tolerable for you.

Your experience at the larger hospital, where the dentist was willing to administer anesthesia, is a reminder of the importance of finding a practitioner who understands your concerns and is willing to accommodate your needs. Pain management is a critical aspect of dental care, and patients should never feel they have to endure unnecessary discomfort. If you ever feel that a dentist is not addressing your pain adequately, it’s within your rights to seek a second opinion or request a different approach.

As you moved forward with orthodontic treatment, it’s understandable that you would be concerned about the state of your teeth, especially if you noticed new dark spots or changes in the structure of your teeth. The fact that you are now wearing braces adds another layer of complexity to your dental care. Orthodontic appliances can sometimes make it more challenging to maintain oral hygiene, which can lead to further decay if not managed properly.

The black spots you’ve observed could indicate the presence of new cavities or demineralization, which is a precursor to cavities. It’s essential to address these concerns as soon as possible, especially since you are in the middle of orthodontic treatment. The best course of action would be to schedule an appointment with your orthodontist or dentist to discuss your observations. Be sure to express your concerns clearly, and don’t hesitate to ask specific questions about the condition of your teeth and the potential need for further treatment.

In terms of treatment options, if cavities are detected, your dentist may recommend restorative procedures such as fillings. It’s important to address these issues promptly to prevent further decay, which could complicate your orthodontic treatment. Depending on the severity of the cavities, your dentist may suggest a treatment plan that accommodates your braces, ensuring that your oral health is prioritized while you continue with orthodontic care.

Additionally, maintaining excellent oral hygiene is crucial during this time. Make sure to brush your teeth at least twice a day and floss daily, especially around the brackets and wires of your braces. Using an antibacterial mouthwash can also help reduce plaque buildup and prevent cavities.

In summary, your journey through dental care emphasizes the importance of effective communication with your dental providers, the necessity of pain management, and the need for proactive treatment of cavities. As you prepare for your next appointment, consider writing down your observations and questions to ensure you get the answers you need. Remember, your oral health is paramount, and addressing these issues early can help you achieve a healthier smile in the long run.

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