Cavities: Should You Treat Hidden Tooth Decay? - Dentistry

Share to:

Tooth decay


Hello Doctor: My teeth are very unhealthy, and I already have many dentures.
I've noticed that among my healthy teeth, specifically my front teeth, there are about three or four that appear normal on the surface, but when I lift the gums, I can see that they are decayed inside because they are black.
Recently, the gum tissue above one of my front teeth has started to recede, so sometimes the black area becomes visible.
I've been aware of the decayed areas for several years, and they haven't changed much.
I'm unsure whether I should address this issue because I'm worried that treatment on my front teeth might not look good.
Doctor, since it has been like this for a long time, will the decay stop? Should I seek treatment for it? Thank you.

Xiao Ke, 30~39 year old female. Ask Date: 2006/08/13

Dr. Wu Jinjun reply Dentistry


Hello, cavities usually do not heal on their own; they tend to worsen over time, especially in areas where bacteria accumulate and are difficult to clean.
Therefore, you should see a dentist immediately for an evaluation of how to address the situation.
Do not delay any further!

Reply Date: 2006/08/13

More Info


When it comes to understanding cavities, particularly hidden tooth decay, it is crucial to recognize that neglecting dental issues can lead to more significant problems down the line. From your description, it sounds like you have been aware of the decay in your teeth for several years, particularly in your front teeth, and that the condition has not improved. This situation raises several important considerations regarding the treatment of hidden cavities.

First and foremost, it is essential to understand that cavities, or dental caries, do not simply stop progressing on their own. While it may seem that the decay has remained stable over the years, the reality is that tooth decay is a dynamic process. Bacteria in the mouth produce acids that can demineralize tooth enamel, leading to cavities. If left untreated, these cavities can continue to progress, potentially reaching the inner layers of the tooth, which can result in pain, infection, and even tooth loss.

In your case, the fact that you have noticed dark spots beneath the gum line suggests that the decay may have penetrated deeper than just the enamel. This could indicate a more severe level of decay that may require more extensive treatment, such as root canal therapy or extraction, depending on the extent of the damage. Additionally, the fact that the gum tissue is changing (as you mentioned, "the meat is running up") could be a sign of gum disease or other complications that need to be addressed.

Regarding your concern about the aesthetic outcome of treating your front teeth, it is understandable to be apprehensive about how dental work might affect your smile. However, modern dentistry offers a variety of restorative options that can provide both functional and aesthetic benefits. For instance, composite resins can be used to fill cavities in a way that closely matches the natural color of your teeth, making the restoration less noticeable. Additionally, if the decay is extensive, crowns or veneers may be recommended to restore the tooth's shape and function while enhancing its appearance.

It is also worth noting that delaying treatment can lead to more complicated and costly procedures in the future. If the decay progresses to the point where the tooth becomes infected or requires extraction, the options for restoration become more limited and may involve more invasive procedures, such as implants or bridges.

In conclusion, it is highly advisable to seek treatment for the hidden cavities you have identified. A dental professional can provide a thorough examination, including X-rays, to assess the extent of the decay and recommend an appropriate treatment plan. Addressing these issues sooner rather than later can help preserve your natural teeth, maintain your oral health, and ensure that your smile remains both functional and aesthetically pleasing. Remember, taking proactive steps in dental care is key to preventing further complications and maintaining overall health.

Similar Q&A

Understanding Cavities: Should You Treat Hidden Tooth Decay Now?

If a full mouth X-ray shows a small dark shadow between the second molar and the first molar, the dentist mentioned it could be due to overlapping teeth or possibly a cavity. Since it's located in the interproximal space and is not visible externally, should it be addressed ...


Dr. Zeng Guanghui reply Dentistry
Hello: 1. The panoramic X-ray shows a small dark shadow between the second molar and the first molar, which may be caused by overlapping teeth or could indicate a cavity. To confirm whether it is indeed a cavity, a smaller X-ray could be considered, as it would provide a clearer ...

[Read More] Understanding Cavities: Should You Treat Hidden Tooth Decay Now?


Managing Cavities Discovered During Orthodontic Treatment

1. During orthodontic treatment, the dentist noticed cavities between my teeth due to the spacing created by the braces, and mentioned that it was somewhat serious. However, they just aligned the teeth without addressing the cavities at that time, so now they are not visible. Can...


Dr. Zeng Guanghui reply Dentistry
1. If there are cavities in the gaps between teeth during or after orthodontic treatment, it is important to see a dentist for treatment to prevent the decay from progressing and affecting the dental pulp. 2. If there is a shallow groove behind the last molar, it is recommended t...

[Read More] Managing Cavities Discovered During Orthodontic Treatment


Understanding Tooth Decay and Gum Issues: What You Need to Know

Hello, doctor. I have been in the habit of getting my teeth cleaned and checked every six months for the past fifteen years. The dentists I saw in the last two years said my dental condition was very good, with some small cavities that didn't need filling (and I didn't ...


Dr. Lin Qingye reply Dentistry
Miss LuLu's mild dental demineralization can be reversed through improved oral hygiene practices. However, it is evident that your brushing technique may be incorrect and the tools you are using may not be appropriate, leading to cavities and wear at the cervical areas of th...

[Read More] Understanding Tooth Decay and Gum Issues: What You Need to Know


Dealing with Cavities and Gum Cysts: Dental Care Insights

Hello, doctor. I have worn braces and have been diligent about brushing my teeth, but I have had cavities since childhood. I have had fillings, and even had root canals, but I am very afraid of going to the dentist. After my braces were removed, I discovered that I have at least ...


Dr. Zeng Guanghui reply Dentistry
Cavities must be treated promptly; shallow cavities can be filled immediately, while deeper cavities may require root canal treatment. If cavities are left untreated, bacteria can continue to spread down to the root apex, leading to the formation of abscesses. Additionally, cavit...

[Read More] Dealing with Cavities and Gum Cysts: Dental Care Insights


Related FAQ

Tooth Decay

(Dentistry)

Cavities

(Dentistry)

Lost Filling

(Dentistry)

Tooth Staining

(Dentistry)

Bad Breath

(Dentistry)

Root Canal Treatment

(Dentistry)

Tooth Abscess

(Dentistry)

Retained Tooth

(Dentistry)

Bruxism

(Dentistry)

Tooth Gap

(Dentistry)