What to Do If You Have Cavities in Your Front Teeth?

Q: What to Do If You Have Cavities in Your Front Teeth?

Hello, Xiaojing： Regarding your question, it is quite difficult to provide an answer without seeing your condition, as it is impossible to assess its severity based solely on your description. <br>Therefore, if you could visit our dental clinic, it would be clearer after an exami

If you have a cavity in the middle of your front teeth, what should you do?

I would like to ask, I noticed that there is a bit of a cavity in the middle of my front tooth, it looks black, but it doesn't hurt.
I went to see a dentist the other day, and the doctor told me there are two options: one is to cover it with a crown, which will hide the black spot, and the other option I forgot, but he said that one will still show the black spot.
Later, I mentioned that there is a small growth on my gum above my front tooth, which is commonly referred to as a "fibroma," something we can press with salt.
The doctor looked at it and said that it needs to be extracted.
I went home and told my family, and they strongly opposed it, saying that since it doesn't hurt, I shouldn't extract the tooth, and that I would understand when I get older.
They also suggested that I press the small growth with salt, and indeed, it has shrunk.
I want to ask if this is a viable option? Does it really have to be extracted as the doctor said? Also, when the doctor mentioned covering it with a crown, does that mean I would need a prosthetic tooth? Would that be very expensive? Would it harm my teeth? Which option should I choose to avoid having such an unsightly black spot? I apologize for asking so many questions at once, but the dentist I saw was quite intimidating, and I didn't dare to ask too much.
Thank you for your help!

Xiao Jing, 20~29 year old female. Ask Date: 2004/01/30

Dr. Wang Cunzhen reply Dentistry

Hello, Xiaojing: Regarding your question, it is quite difficult to provide an answer without seeing your condition, as it is impossible to assess its severity based solely on your description.
Therefore, if you could visit our dental clinic, it would be clearer after an examination and further explanation.
Thank you! Dr.
Wang Cunzhen, Department of Oral Surgery, Hsinchu City Hospital.

Reply Date: 2004/01/30

More Info

When dealing with cavities in your front teeth, it's essential to understand the implications of the condition and the treatment options available. Cavities, or dental caries, are areas of decay that can develop in your teeth due to a combination of factors, including poor oral hygiene, sugary diets, and bacteria in the mouth. The fact that you have noticed a dark spot on your front tooth is a sign that decay has begun, and while it may not be painful now, it can progress if left untreated.

Your dentist has presented you with two treatment options: one involves placing a crown (often referred to as a dental cap) over the tooth, while the other option, which you forgot, might involve a filling or some other form of restoration. Crowns are typically used when a tooth is significantly damaged or decayed, as they provide strength and protection. They can also improve the appearance of the tooth, which seems to be a concern for you given the "black" appearance of the cavity.

Regarding the small growth on your gums, often referred to as a "fibroma" or "gum bump," it's important to note that while some minor gum irritations can resolve on their own, they should be evaluated by a dental professional. Your dentist's recommendation to extract the tooth may stem from the fact that the decay could compromise the tooth's integrity, especially if the cavity is deep or if there is an infection present. While your family may feel that extraction is unnecessary since you are not experiencing pain, it is crucial to consider that dental issues can worsen over time, leading to more significant problems, including pain, infection, or even tooth loss.

Using salt to manage the gum bump is a common home remedy, but it is not a substitute for professional dental care. While it may provide temporary relief or reduce inflammation, it does not address the underlying issue. If the growth persists or worsens, it is advisable to seek further evaluation from a dentist.

As for the cost of dental crowns or fillings, it can vary widely depending on your location, the materials used, and whether you have dental insurance. Generally, crowns can be more expensive than fillings, but they may be necessary for preserving the tooth's structure. It's worth discussing payment options or financing plans with your dental office if cost is a concern.

In summary, while it may be tempting to delay treatment because you are not currently in pain, it is essential to address cavities and any associated gum issues proactively. Ignoring these problems can lead to more severe complications in the future. If you feel uncomfortable with your current dentist, consider seeking a second opinion from another dental professional who can provide you with a clearer understanding of your options and help you make an informed decision about your dental health. Remember, maintaining good oral hygiene practices, including regular brushing, flossing, and dental check-ups, is crucial in preventing further decay and ensuring the longevity of your teeth.

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