Treatment Options for Cavities in Upper Left Teeth - Dentistry

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Upper left posterior tooth


Hello Doctor, I have two cavities in the upper left back teeth that have become hollow and cracked, but there is a healthy tooth in between.
What would be the treatment for this? I haven't had a day off recently, so I would like to understand the general approach.
Thank you.

Zhen, 20~29 year old female. Ask Date: 2016/03/17

Dr. Zeng Guanghui reply Dentistry


In the above situation, it is important to assess the extent of the fracture.
If the fracture has affected the dental nerve, root canal treatment is recommended.
However, if the fracture extends to the tooth root, extraction is advised.
It is recommended to consult a dentist for further evaluation and treatment.

Reply Date: 2016/03/17

More Info


When it comes to treating cavities, especially in the upper left teeth, there are several options available depending on the severity of the decay and the condition of the surrounding teeth. Given your description of two teeth that have significant decay and are crumbling, while being separated by a healthy tooth, it is essential to address this issue promptly to prevent further complications.


Understanding Cavities and Their Treatment
Cavities, or dental caries, are areas of decay on the teeth caused by bacteria that produce acids from sugars in the food we consume. If left untreated, cavities can lead to more severe dental issues, including infections, abscesses, and even tooth loss. The treatment options for cavities generally include:
1. Fillings: If the cavities are not too extensive, the most common treatment is to remove the decayed portion of the tooth and fill it with a dental material such as composite resin, amalgam, or glass ionomer. This is a straightforward procedure that can often be completed in one visit.

2. Crowns: If the decay is extensive and has compromised the structural integrity of the tooth, a crown may be necessary. A crown is a cap that covers the entire tooth, restoring its shape, size, and function. This option is typically used when a significant portion of the tooth is damaged.

3. Root Canal Therapy: If the decay has reached the pulp (the innermost part of the tooth containing nerves and blood vessels), a root canal may be required. This procedure involves removing the infected pulp, cleaning the inside of the tooth, and sealing it. After a root canal, a crown is usually placed on the tooth to protect it.

4. Extraction: In cases where the tooth is too damaged to be saved, extraction may be necessary. This is typically a last resort, as losing a tooth can lead to further dental issues, including shifting of adjacent teeth and bite problems.


Factors to Consider
- Severity of Decay: Your dentist will evaluate how deep the cavities are and whether the decay has affected the pulp. This assessment will guide the treatment choice.


- Location of the Cavities: Since the cavities are in the upper left teeth, the dentist will also consider how the treatment will affect your bite and the surrounding teeth.

- Time Constraints: Given your mention of not having time off, it’s important to discuss with your dentist the possibility of completing the treatment in a single visit or if multiple appointments will be necessary.

- Future Care: After treatment, maintaining good oral hygiene is crucial to prevent further decay. This includes regular brushing, flossing, and dental check-ups.


Next Steps
I recommend scheduling an appointment with your dentist as soon as possible. They will perform a thorough examination, possibly including X-rays, to assess the extent of the decay and recommend the best treatment plan tailored to your situation. If you are concerned about time, communicate this with your dentist; they may be able to accommodate your schedule or suggest a treatment plan that minimizes the number of visits required.

In summary, addressing cavities promptly is essential to maintaining your dental health. With the right treatment, you can restore your teeth and prevent further complications. Don’t hesitate to reach out to your dental professional for personalized advice and care.

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