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

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

Answered by
Dr. Nazima Anjum
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 02, 2022

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.



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.

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