Common Dental Concerns: X-rays, Treatment Choices, and Cavities - Dentistry

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Inquiry about dental issues?


Hello, Doctor.
I have a few questions I would like to ask you:
1.
How often do general dental clinics take X-rays? I have encountered situations where cavities between teeth were not visible externally but were detected on X-rays.
If my dentist has not taken X-rays for two years (only during the first visit), can I ask my dentist if I can have an X-ray?
2.
I am currently facing a somewhat awkward situation and would like your advice on what would be appropriate.
I have been regularly visiting Dr.
A's clinic for dental care over the past two years, where I have undergone root canal treatment and received a dental crown, and I also go for regular cleanings and check-ups.
However, a few days ago, I visited Dr.
B for a minor issue and, since it was my first visit, they took X-rays and found two cavities.
Should I go back to Dr.
A for the fillings, or should I have Dr.
B do the fillings? (I plan to continue seeing Dr.
A for regular cleanings and check-ups, but I discovered the cavities during my visit to Dr.
B.)
3.
Additionally, I would like to ask if cavities between teeth are more difficult to fill and have a higher failure rate? I have many questions and am quite troubled.
Thank you for your response and suggestions!

Niming, 20~29 year old female. Ask Date: 2024/01/26

Dr. Lin Jiayong reply Dentistry


Hello: If you trust Dr.
A more, it is advisable to directly inform Dr.
A and request an X-ray to confirm whether there are cavities.
If both doctors confirm the presence of cavities, you can proceed with the treatment at Dr.
A's office, which will give you more peace of mind.

Reply Date: 2024/01/26

More Info


Dear Patient,
Thank you for your questions regarding common dental concerns, particularly about X-rays, treatment choices, and cavities. I understand that navigating dental health can sometimes be confusing, especially when it comes to understanding the necessity of X-rays and the best course of action for treatment. Let’s address your concerns one by one.

1. Frequency of X-rays: The frequency of dental X-rays can vary based on individual risk factors and the dentist's judgment. Generally, for patients with a low risk of cavities, dentists may recommend X-rays every 1-2 years. However, if you have a history of dental issues, such as cavities or gum disease, your dentist may suggest more frequent X-rays, possibly every six months to a year. If you feel that your dentist has not taken X-rays in two years, it is entirely reasonable to ask them for an updated X-ray. This is especially important if you have concerns about cavities that may not be visible during a regular examination. X-rays are a crucial diagnostic tool that can reveal issues beneath the surface, such as cavities between teeth or problems with the roots of teeth.

2. Choosing Between Dentists: In your situation, since you have been regularly visiting Dr. A and have established a treatment history there, it would be advisable to return to Dr. A for the treatment of the cavities discovered by Dr. B. Consistency in care is important, especially when it comes to dental work like root canals and crowns, as your primary dentist will have a comprehensive understanding of your dental history and treatment plan. However, if you feel more comfortable with Dr. B or if Dr. B has a specific approach that you prefer, you can choose to have the cavities treated there. Just ensure that Dr. B is aware of your previous treatments and any ongoing dental issues.

3. Cavities Between Teeth: Cavities that develop between teeth can indeed be more challenging to treat than those on the surface of a tooth. This is because they are often not detected until they have progressed significantly, and the access for filling can be limited. The success rate of filling cavities in these areas can be lower compared to more straightforward fillings, primarily due to the difficulty in cleaning the area thoroughly and ensuring a proper seal. However, with advancements in dental materials and techniques, many dentists are equipped to handle these situations effectively. It’s essential to have a skilled dentist who can assess the extent of the decay and recommend the best treatment options.

In summary, it’s important to maintain open communication with your dentist about your concerns regarding X-rays and treatment options. Regular check-ups and X-rays are vital for early detection of dental issues, and choosing a dentist you trust for your care is equally important. If you have further questions or need clarification on any dental procedures, don’t hesitate to ask your dentist. They are there to help you navigate your dental health and ensure you receive the best care possible.

Best wishes for your dental health, and I hope this information helps you make informed decisions about your care.

Sincerely,
Doctor Q&A Teams

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