The dentist did not fill the cavity immediately?
I would like to ask, when I look in the mirror, I see some dark spots on the back of my lower four teeth.
However, after visiting the dentist twice, they did not address it (there is currently no pain) and advised me to come back in six months for a check-up.
Why is that? Is it better to address cavities when they are just a little dark? Otherwise, will I end up with more cavities? Why do areas that have already been filled develop cavities again? Is it due to the dentist's technique, or is it just how it is (I usually brush my teeth diligently)? Thank you! 😁
Jia, 10~19 year old female. Ask Date: 2015/12/19
Dr. Zhang Xiangyuan reply Dentistry
Dear user, based on your description, it seems that you have noticed dark spots on your teeth.
It is advisable to consult a dentist to check whether there are cavities, pigment deposits, or other restorations present, and to determine if fillings, dental cleanings, or other treatments are necessary.
Even teeth that have been previously filled can still develop cavities, so we recommend regular follow-up visits for your dentist to examine and treat your teeth.
Thank you for your inquiry.
Reply Date: 2015/12/19
More Info
When it comes to dental health, particularly regarding cavities and tooth decay, it's important to understand the rationale behind your dentist's treatment decisions. Seeing dark spots on your teeth can understandably cause concern, especially if you suspect they might be cavities. However, there are several factors that could explain why your dentist has opted to delay treatment.
Firstly, not all dark spots on teeth indicate cavities. Some discoloration can be due to staining from food, beverages, or even certain medications. Dentists often use X-rays and clinical examinations to determine whether decay is present beneath the surface. If the decay is not extensive and does not penetrate the enamel significantly, your dentist may decide that immediate treatment is not necessary. This is particularly true if you are not experiencing any pain or sensitivity, which are common indicators of more serious decay.
Your dentist's recommendation to wait for six months before re-evaluating the situation may be based on the principle of "watchful waiting." This approach allows for monitoring the condition of your teeth without rushing into treatment that may not be necessary at this stage. During this time, it is crucial to maintain good oral hygiene practices, including regular brushing and flossing, to prevent any potential decay from worsening.
Regarding your concern about previously filled cavities developing new decay, this can happen for several reasons. Dental fillings can wear down over time, and the margins where the filling meets the tooth can become compromised, allowing bacteria to infiltrate and cause new decay. Additionally, if the original cavity was extensive, it might have weakened the tooth structure, making it more susceptible to future decay. It's also worth noting that some individuals are more prone to cavities due to factors such as genetics, diet, and oral hygiene habits, even if they brush regularly.
If you are diligent about your oral hygiene and still notice new cavities forming, it may be beneficial to discuss this with your dentist. They can provide insights into your specific situation and may recommend additional preventive measures, such as fluoride treatments or dental sealants, which can help protect your teeth from decay.
In summary, while it can be frustrating to see dark spots on your teeth and feel like treatment is being delayed, it's essential to trust your dentist's professional judgment. They are likely considering the overall health of your teeth and the best course of action to prevent further decay. If you have ongoing concerns or if the dark spots change in appearance or cause discomfort, don't hesitate to reach out to your dentist for further evaluation. Your dental health is a priority, and open communication with your dental care provider is key to ensuring you receive the best possible care.
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