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HomeAnswersDentistrydental fillingsWhat is the reason for the enlarging black hole in my right upper molar?

What to do if my molar tooth gets a cavity or broken filling?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Nazima Anjum

Medically reviewed by

iCliniq medical review team

Published At July 2, 2022
Reviewed AtJuly 2, 2022

Patient's Query

Hi doctor,

I have attached pictures of a black hole in my right upper molar. It is enlarging in size, painful, and causes migraine daily. So I tried to remove the infected cusp. Please help.

Answered by Dr. Nazima Anjum


Welcome to icliniq.com.

From the images attached (attachment removed to protect the patient's identity), it is suggestive of secondary caries or broken filling. Take an X-ray and do a root canal treatment if possible and replace it with a crown. If it is grossly decayed then it is better to extract the tooth. I suggest antibiotics to prevent infection.

1. I suggest capsule Novamox LB (Amoxicillin) 500 mg thrice daily for three days.

2. I suggest tablet Combiflam (Ibuprofen and Paracetamol) 400 mg thrice daily for three days.

3. I suggest tablet Flagyl (Metronidazole) 400 mg thrice daily for three days.

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

Dr. Nazima Anjum
Dr. Nazima Anjum


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