Cavities: Common Questions About Dental Checkups

Cavity examination?

Hello Doctor,
I have a few questions I would like to ask, and I would appreciate it if you could take the time to respond.
Thank you.
Recently, I have been experiencing sensitivity in the gap between my last two upper left teeth.
Therefore, I went for a consultation, and the dentist told me that I have a cavity and drilled a large hole in my tooth, filling it with temporary material.
I have some questions regarding this matter:
1.
I have been visiting dentists frequently over the past six months (different dentists), but during previous X-rays or visits to other clinics, no one detected such a large cavity.
Is it possible for this to happen? (The tooth does not hurt.)

2.
The dentist at this clinic mentioned that I need to wait a month before they can fill it with resin.
Is it really necessary to wait that long?
3.
Is it not possible for the clinic to perform a comprehensive cavity check for all my teeth? Every time I see a doctor, I am asked where it hurts, but I simply want to check if there are any small cavities that can be filled preemptively.

Lugua de, 20~29 year old female. Ask Date: 2016/02/23

Dr. Zhang Xiangyuan reply Dentistry

Dear online friend,
According to your description, you recently visited a dental clinic and were found to have a significant cavity.
Clinically, not all cavities present symptoms, and some cavities may be located in less visible areas.
Therefore, by the time certain cavities are discovered, they may have progressed more deeply.
It is recommended to have regular oral examinations and treatments by a dentist.
If cavities are detected during the examination, you should have them addressed by your dentist as soon as possible.
Your tooth has now been filled with a temporary filling, and during the observation period, if you experience increased pain, please return for a follow-up visit.
If your symptoms have improved, you can also ask your dentist to complete the cavity filling.
Thank you for your inquiry.

Reply Date: 2016/02/23

More Info

When it comes to understanding dental issues like cavities, it's essential to have a clear grasp of the diagnostic processes, treatment options, and the importance of regular checkups. Here are some insights based on your questions.

1. Cavities and X-rays: It's not uncommon for cavities to go undetected in previous dental visits, especially if they are small or located in hard-to-see areas. Different dental practices may have varying levels of diagnostic equipment and techniques. Some dentists may use more advanced imaging technology or have a more thorough examination protocol, which could explain why a cavity was detected at one office and not another. Additionally, cavities can develop rapidly, so it's possible for a tooth to deteriorate between visits. Regular checkups are crucial for catching these issues early.

2. Waiting to Fill a Cavity: The recommendation to wait a month before placing a permanent resin filling could be based on several factors. The dentist may want to monitor the tooth for any changes, especially if there is a risk of further decay or if the tooth is sensitive. This waiting period allows the dentist to ensure that the tooth is stable enough for a permanent filling. However, if you feel uncomfortable with this approach, it's important to communicate your concerns with your dentist. They can explain the rationale behind their recommendation and may be able to offer alternatives.

3. Comprehensive Dental Checkups: Ideally, a dental checkup should include a thorough examination of all teeth, not just those that are causing discomfort. If you feel that your current dentist is not providing a comprehensive evaluation, you might want to express your desire for a full assessment. Some dental offices may prioritize addressing immediate concerns over preventive care, but it's essential for your overall oral health to have a complete examination. If necessary, consider seeking a second opinion from another dental professional who may offer a more holistic approach to dental care.

In addition to these points, it's worth noting that regular dental checkups are vital for maintaining oral health. During these visits, dentists can perform cleanings, check for cavities, assess gum health, and provide preventive care. They can also educate patients on proper oral hygiene practices and dietary choices that can help prevent cavities and other dental issues.

If you have concerns about the frequency of your dental visits or the findings of your dentist, don't hesitate to ask questions. A good dentist will appreciate your engagement in your oral health and will be willing to explain their findings and recommendations in detail. Remember, your comfort and understanding are paramount in your dental care journey.

In summary, while it may seem frustrating to have differing opinions from various dental professionals, it's essential to prioritize your oral health through regular checkups, open communication with your dentist, and a proactive approach to any dental issues that arise. If you continue to have concerns or feel that your needs are not being met, seeking a second opinion or changing dental providers may be beneficial.

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