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Cavities at the gum line

User Level:
Patient
Posted by: deep_cavity  (10 years ago)

Hello everyone,

I have fillings in my first and second premolars on the top right side. When I floss around these teeth, I feel sharp shooting pain. When I look closely at the teeth in the mirror, I can see some black patches at the bottom, which look like cavities.

I went to the dentist today. He said he could not see anything wrong from these teeth. He also told me the black patches at the bottom are only stains. He can get rid of them by spraying them with laser.

Is it possible to have cavities with no visible indication even on x-ray? I told the dentist about the pain when flossing and he simply said to floss more and my gums would get used to it soon. I have been flossing for years. Is it time to see another dentist? I have been having this pain for more than a month now. I declined the laser spray because I didn’t think it is necessary. Any ideas or suggestions? Please help! I am in a quite troublesome situation.
User Level:
Student
Posted by: Novocaine  (10 years ago)

I have fillings in my first and second premolars on the top right side. When I floss around these teeth, I feel sharp shooting pain. When I look closely at the teeth in the mirror, I can see some black patches at the bottom, which look like cavities.


My gut diagnosis to your symptoms is tooth sensitivity. Your title 'cavities at the gum line' also supports this and it is that you have 'dentin hypersensitivity' or 'cervical abrasion' (dental terminology). It is a commonly painful condition that affects millions around the globe and is usually caused due to bad brushing habits (horizontal technique, aggressive, overly frequent) over a period of time, sugary foods, gum recession (root exposure), bleaching etc. Always brush your teeth in an up and down manner and use soft bristles (use a new one every 3 months).

Nothing to worry about though! Your dentist can apply a tooth-colored filling and cover up the exposed dentin (below the visible enamel tooth and towards the gum line) permanently and you're good to go! Either that, or you can have the dentist prescribe you a Stannous fluoride gel or desensitizing paste. Better still, you could buy them on your own (Sensodyne is a popular brand) without a prescription and use them religiously. Your sensitive tooth will gradually adapt to your new paste and thank you for it!

I went to the dentist today. He said he could not see anything wrong from these teeth. He also told me the black patches at the bottom are only stains. He can get rid of them by spraying them with laser.

Did your dentist probe around to check for sensitivity? Although I doubt it, galvanic shock could also be a possible reason. You do need to have silver amalgam fillings for it to happen, though.

Is it possible to have cavities with no visible indication even on x-ray?

The chances of an X-ray not finding a cavity is so remote that I frankly don't think it stands a possibility. If you had cavities in between your teeth where you floss, then your floss would generally get shredded, stuck or torn in the process.

I told the dentist about the pain when flossing and he simply said to floss more and my gums would get used to it soon. I have been flossing for years. Is it time to see another dentist? I have been having this pain for more than a month now. I declined the laser spray because I didn’t think it is necessary. Any ideas or suggestions? Please help! I am in a quite troublesome situation.

Yes, I guess it's time you shopped around for another dentist. I highly suggest you use a desensitizing paste and let us know how it went. Good luck!!


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