Upper Jaw Holes with Dark Spots: Dental Concerns Explained - Dentistry

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Hole in the maxilla accompanied by black spots?


The upper front teeth behind the incisors suddenly started to hurt two days ago, and when I checked before bed today, I found several small holes in the upper gum accompanied by black spots.
What disease could this be?

Nian, 20~29 year old female. Ask Date: 2015/08/31

Dr. Huang Zhicheng reply Dentistry


Dear Nian: Hello, ulcers with holes on the immobile mucosa in the mouth are often due to viral infections.
Applying a corticosteroid oral ointment may pose risks.
Using povidone-iodine will help naturally, but if it does not improve after more than two weeks, please consult a physician to check for any nearby dental issues or other problems.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/31

More Info


When you notice sudden pain in the upper jaw accompanied by small holes and dark spots, it can be concerning and may indicate several dental issues. The presence of these symptoms could suggest a few potential conditions, including dental caries (cavities), periodontal disease, or even oral lesions that may require further evaluation.

1. Dental Caries: The small holes you see could be cavities, which are areas of decay caused by bacteria that produce acids from sugars in the food you consume. If left untreated, cavities can progress deeper into the tooth, leading to pain and potential tooth loss. The dark spots may be the result of the decay process, where the tooth structure has been compromised.

2. Periodontal Disease: If the dark spots are located near the gum line, they could indicate periodontal disease, which is an infection of the tissues that support your teeth. This condition can lead to gum recession and the formation of pockets between the teeth and gums, which may appear as dark spots or holes. Symptoms often include gum swelling, bleeding, and bad breath.

3. Oral Lesions: The holes and dark spots could also represent oral lesions, such as aphthous ulcers or other types of sores that can develop in the mouth. These lesions can be painful and may be associated with systemic conditions or nutritional deficiencies.

4. Other Considerations: In some cases, the dark spots could be related to staining from foods, beverages, or tobacco use. However, if they are accompanied by pain and structural changes in the teeth, it is essential to consider more serious underlying issues.


Recommended Actions:
- Seek Professional Evaluation: It is crucial to visit a dentist as soon as possible for a thorough examination. The dentist will likely perform a clinical examination and may take X-rays to assess the extent of the decay or any underlying issues. Early diagnosis is key to preventing further complications.

- Treatment Options: Depending on the diagnosis, treatment may vary. If cavities are present, the dentist may recommend fillings to restore the tooth structure. For periodontal disease, a deep cleaning (scaling and root planing) may be necessary, along with improved oral hygiene practices. If lesions are found, the dentist may provide specific treatments based on the type of lesion.

- Maintain Oral Hygiene: In the meantime, maintaining good oral hygiene is essential. Brush your teeth at least twice a day with fluoride toothpaste, floss daily, and consider using an antibacterial mouthwash to help reduce bacteria in the mouth.

- Dietary Considerations: Pay attention to your diet, as sugary and acidic foods can exacerbate dental issues. Incorporating more fruits, vegetables, and dairy products can help strengthen your teeth and gums.

In conclusion, the symptoms you are experiencing warrant immediate attention from a dental professional. Early intervention can prevent further damage and ensure that any underlying conditions are addressed effectively. Remember, your oral health is a vital part of your overall well-being, and taking proactive steps can lead to a healthier mouth and a more comfortable life.

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