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What can be done to prevent black spots on the teeth?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother is 50 years old, and I have observed black spots on her teeth for the past three months (she had two black spots on two teeth from childhood but for the other tooth the black spots are newly appearing on top of the upper tooth). Could you please help with the cause and suggest what should be done now as the decay is also passing to other teeth?

Thank you.

Answered by Dr. Bharat Joshi

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

From the pictures that you have shared (attachments removed to protect the patient’s identity), I can see that the blackish spots seem to be a combination of arrested caries and stains. Since the other teeth are also showing abrasion and calculus, I confirm these spots to be a combination of stains (erosion- chemical waste and tear or some birth disease) and caries. However, for exact confirmation, X-rays are a must to see the amount of damage. The treatment options are:

  1. Scaling (preferably manual) followed by RCT (root canal treatment) for abrasions, restorations (light cure), and capping.
  2. Veneers can also be placed for black spots but after confirmation of caries.
  3. In case of mobility, you need to have a splint also.
  4. Finally, I would suggest she undergoes an X-ray of that particular tooth for further treatment options. Please do not go for bleaching.

I hope this helps you.

Thanks.

Regards.

Medically reviewed by iCliniq medical review team
Published At October 13, 2023
Reviewed At December 17, 2024

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

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