Common Dental Concerns: Should You Worry About Cracks and Growths?

Q: Common Dental Concerns: Should You Worry About Cracks and Growths?

Hello Mr. <br>Kris： 1. <br>If there is leakage at the junction between the filling and the tooth, or if it easily traps food debris, it is recommended to have it refilled. <br>2. <br>The opening of the salivary glands is approximately located on the cheeks opposite the upper firs

Inquiry Consultation

Dear Dr.
Tseng,
Hello.
Today I visited the dental clinic and have some questions I would like to ask you:
Q1.
I observed a "suspected" linear crack on the silver amalgam filling of my lower left second molar, but I have no discomfort (such as pain or sensitivity) when biting.
Therefore, the dentist believes it is merely a superficial crack on the surface of the filling and that no treatment is necessary at this time; I should return for treatment only if issues arise.
The dentist also does not recommend any preventive measures such as polishing the surface cracks or removing the amalgam for a refill.
In your opinion, is it true that superficial cracks on the surface of an amalgam filling do not require any "preventive" intervention? If no action is taken, will the crack not deepen over time?
Q2.
I have a small raised spot on the inner cheeks of both sides of my mouth, with a slight dark red coloration in the center.
I initially thought it was caused by friction from my teeth against the inner cheek, but today the dentist mentioned that these raised spots on both sides of the inner cheek are likely "salivary gland openings." Can you confirm if "salivary gland openings" are indeed located on both sides of the inner cheek in the oral cavity?
Q3.
My lower right wisdom tooth has been extracted, and the area is now pink, toothless gum tissue.
Recently, I noticed a slightly raised semicircular growth (or polyp) on the gum tissue above that area.
I asked the dentist about this growth (or polyp) today, and the dentist believes it is a normal skin tissue formation resulting from healing after injury or irritation.
I expressed my desire to have the growth (or polyp) removed, but the dentist said it does not require treatment and that if I wanted to remove normal skin tissue, the health insurance would not know what to apply for, so my request could not be approved.
In your opinion, is it true that the gum growth (or polyp) does not need "preventive" removal? Additionally, if the gum growth (or polyp) is not removed, could it potentially undergo malignant transformation over time due to physical irritation from biting or chewing?
Thank you for your clarification on these matters.

Kris, 40~49 year old female. Ask Date: 2023/07/17

Dr. Zeng Guanghui reply Dentistry

Hello Mr.
Kris: 1.
If there is leakage at the junction between the filling and the tooth, or if it easily traps food debris, it is recommended to have it refilled.
2.
The opening of the salivary glands is approximately located on the cheeks opposite the upper first molars.
3.
If a gingival polyp causes occlusal interference or has already become inflamed and painful, surgical removal is recommended.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/07/17

More Info

Dear Patient,
Thank you for your detailed questions regarding your dental concerns. It's understandable to have worries about the health of your teeth and gums, especially after experiencing issues like cracks and growths. Let's address your concerns one by one.

Q1: Surface Cracks in Silver Fillings
It's common for silver fillings (amalgam) to develop superficial cracks over time. If your dentist has assessed that these cracks are not affecting the integrity of the filling and you are not experiencing any discomfort, it is generally safe to monitor the situation. Superficial cracks do not always lead to deeper fractures, especially if the filling is still intact and functional. However, it's important to maintain regular dental check-ups to monitor any changes. If you notice any new symptoms, such as pain or sensitivity, it would be prudent to revisit your dentist for further evaluation.

Q2: Salivary Gland Openings
Yes, the salivary gland openings, known as the parotid duct openings, are located on the inner cheeks, typically opposite the upper second molars. These openings can sometimes appear as small bumps and may have a slightly darker coloration due to the natural pigmentation of the tissue or minor irritation. If your dentist has confirmed that these are indeed the openings of the salivary glands, there is usually no cause for concern unless you experience pain, swelling, or other symptoms.

Q3: Growth on the Gums Post-Wisdom Tooth Extraction
The presence of a small, rounded growth on the gum tissue after wisdom tooth extraction can be concerning. However, if your dentist has assessed it as a normal healing response, it is likely benign. Such growths can occur due to irritation or trauma to the area during the healing process. While it is understandable to want to remove any abnormal tissue, if the dentist believes it is normal tissue, it may not be necessary to proceed with removal.
Regarding your concern about potential malignancy, benign growths typically do not transform into cancerous lesions, especially if they are not symptomatic. However, if you notice any changes in size, color, or if it becomes painful, you should return to your dentist for a follow-up evaluation.

General Recommendations:
1. Regular Dental Check-Ups: Continue to have regular dental visits to monitor the condition of your fillings and any growths in your mouth. Your dentist can provide the best guidance based on their observations.

2. Oral Hygiene: Maintain excellent oral hygiene practices, including brushing twice a day and flossing daily. This will help prevent further issues with your teeth and gums.

3. Watch for Changes: Keep an eye on any changes in your oral health, such as increased sensitivity, pain, or changes in the appearance of your gums or teeth. If you notice anything unusual, do not hesitate to contact your dentist.

4. Discuss Concerns Openly: If you have persistent concerns about any growths or changes in your mouth, discuss them openly with your dentist. They can provide reassurance or refer you to a specialist if necessary.

In conclusion, while it is natural to worry about dental issues, many conditions can be monitored without immediate intervention. Trust your dentist's expertise, and don't hesitate to seek a second opinion if you feel uncertain about any recommendations. Your oral health is important, and staying informed is key to maintaining it.

Best wishes for your dental health!
Sincerely,
Doctor Q&A Teams

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