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    Dark spots on the teeth. Causes of occurrence. What to do?

    black spots on the teeth

    Anyone who pays due attention to oral health, sooner or later notices on the surface of the teeth black spots and plaque, causing concern. Contrary to popular belief, this situation is not always due to the occurrence of tooth decay. Small depressions and dark-colored spots do not always indicate that the crown of the tooth is affected, and when you visit the dentist, the specialist says that treatment is not required. Therefore, the question of what it is, what is the cause of its appearance and what is the consequence, worries many people.

    Why are black spots not always an indication of tooth decay?

    Contrary to popular belief, dentists refuse treatment to patients with black dots not because they want to move the disease to a more severe stage, when therapy is longer and more expensive. In some cases, partial discoloration of enamel is due to other causes that do not pose any threat.

    The appearance of dark spots can be due to the following causes:

    hypoplasia. In childhood, during the formation of the permanent dentition, the crown part may not develop properly due to problems with metabolism, metabolic disorders in the body, deficiency of certain vitamins and trace elements. This process is also affected by diseases a person suffered in childhood (gastrointestinal diseases, infectious pathologies, somatic disorders);

    fluorosis. The darkening of enamel occurs due to the ingestion of large amounts of fluoride on a regular basis. In its initial stages, white spots form on the teeth, which then transform into small depressions and erosions on the surface, capable of provoking tooth decay;

    enamel erosion. Destruction of the upper layer occurs as a result of destructive processes in the teeth and in later stages can affect the deeper layer – dentin. These black spots are usually arranged symmetrically and look unaesthetic;

    improper oral hygiene. Using a poor-quality toothbrush or toothpaste, infrequent and superficial brushing lead to an accumulation of plaque on the surface, which contains pathogenic microorganisms. Over time, plaque transforms from an aesthetic problem to a medical one, leading to the development of tooth decay and other oral diseases;

    gastrointestinal abnormalities. Dark stains on the teeth can indicate both systemic diseases in the body as a whole, and pathological processes in the liver or intestines. In this case, therapy of the underlying problem is required;

    the peculiarities of the body. In rare cases, a person’s saliva contains an increased amount of iron, which becomes the cause of enamel pigmentation;

    mechanical damage. chips and cracks on the teeth, into which microbes get and cause carious processes.

    Treatment is not always required in each of the above cases. The degree of damage, the presence of caries signs and the reasonableness of medical intervention is determined by a specialist. Sometimes you can get by with conservative methods of therapy and taking vitamin complexes.

    Treatment of black dots without drilling the tooth

    Most often, the appearance of black dots affects only the aesthetic component, without affecting the health of the teeth or bringing discomfort to the patient. Crown-type diseases can be eliminated by remineralization. In this case, the patient is prescribed the intake of mineral and vitamin preparations containing calcium and phosphorus. Applying topical applications can also greatly improve the situation. One solution to the problem is electrophoresis, which the patient undergoes a course.

    How do I know if I have a cavity?

    Caries is indicated by dark-colored cavities and significant damage to the enamel. The cavity formed due to caries is caused by exposure to pathogenic microorganisms. During the course of the disease, the surrounding tissue is affected, so a filling is always associated with its removal to prevent further development. Often, a patient without medical training cannot assess the appropriateness of drilling out a part of the tooth, because the resulting damage can lead to much more negative consequences. Therefore, not every black spot on enamel requires the use of a drill.

    Why aren’t decayed teeth always treated at the initial stage?

    Sometimes during a routine checkup, the dentist will confirm that the black spots are caused by decayed tooth, but will not prescribe treatment. A filling will require some dentin to be drilled out, which may not be practical. Destruction of the upper part of the crown leads to damage to the integrity of the tooth.

    When you go to the doctor, a diagnosis is made and the results are used to decide how to proceed. For example, there are natural depressions on the molars, which often darken with smoking and drinking a lot of coffee. In such cases, it is sufficient to seal the surface of the tooth with a special solution.

    Modern techniques – ultrasonic cleaning and the use of laser – are excellent for brightening the defect. Both methods allow you to quickly and painlessly clean the enamel from plaque and darkening, as well as make your natural tooth shade lighter. At home, it is recommended to use whitening pastes and mouthwash.

    When tooth decay is in the black spot stage, there is a good chance that with proper care, it can be avoided. Often the black spot will retain its shape and size for several years without causing the patient any discomfort. Of course, regular oral hygiene, brushing after each meal, using special toothpaste and remineralizing gel are necessary. Thus it is possible to avoid drilling out cavities and installing fillings, and to postpone treatment for several years.

    How do I combat black dots on teeth?

    When black dots are found on teeth, dentists use two main methods to correct the problem:

    1. Remineralization. The technique is common in the initial stage and a small area of crown damage. Performing a remineralization procedure allows you to slow the destructive processes in the hard tissues and delay the drilling out of the tooth to install a filling. The doctor applies a special compound to the damaged area, which penetrates into the deeper layers of the enamel, flooding it with nutrients from within. As a result, the enamel becomes denser and less exposed to harmful microorganisms. Carious processes stop, and fillings can be postponed for several years. It is worth noting that it is important to visit the dentist regularly and perform remineralization at the recommended intervals to maintain the effect. In some cases, the doctor may recommend applying remineralizing compound yourself at home. The product is applied to the mouth guard and put it on your teeth, leaving it on all night. It is worth to use a special toothpaste, which contains the necessary vitamins and trace elements, as well as adjust the diet towards an increase in certain vitamins.
    2. Cleaning black spots by filling. A more drastic solution to the problem is indicated when the patient suffers from symptoms such as increased sensitivity to hot, cold, sweet, sour and salty foods, when painful sensations occur when chewing food, bad breath associated with a carious process, with a rapidly increasing area of tooth damage. In addition, localization in the area of the neck of the tooth and incisors, which look aesthetically unattractive, are considered indications for fillings. In such cases, the classic scheme is used, in which the lesion is cleaned of dark spots with a drill, treated with an antiseptic solution, and a filling is applied. The dentist dries the filling with a special lamp and grinds the area to achieve perfect smoothness. To minimize discomfort, the patient is injected with an anesthetic.

    Depending on the chosen method, the doctor gives recommendations for maintaining the effect. But visiting a specialist for the purpose of prevention is mandatory, regardless of which method was chosen. It is also important to follow good oral hygiene practices and use quality dental accessories.

    Call us at (407) 989 99-99 if you have a dental emergency or are looking for professional dental services. Our dentists at Brickell Dental Care will provide all the skilled care you need, no matter what problem you come in with.

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