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What causes a hole in my tooth without pain?

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

Patient's Query

Hello doctor,

I am 27 years old and have not seen a dentist since I was 18. I have a hole that has started to develop in one of my top teeth (although I have not experienced pain from it), and I believe it is due to a cavity or gum disease. I use spitting tobacco and know I have other teeth issues. But, I am first concerned about the hole in the tooth.

The question is not whether I should see a dentist (I obviously should and will), but what I should specify as the reason for visiting the dentist.

Should I specify cleaning checkups, broken teeth, or cavities?

Please help.

Thank you.

Answered by Dr. Muzaffer Hussain Parray

Education:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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

Hello,

Welcome to icliniq.com.

I have gone through your clinical images (attachment removed to protect patient identity).

  1. Yes, it is a cavity and not a gum problem. In medical terminology, it is called a class-V dental cavity.
  2. If it does not pain, it can be simply filled with a GIC (glass ionomer cement) or composite (veneer).
  3. Composite is better in aesthetics as well as hardness. You must opt for it though GIC is relatively cheap.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 26, 2017
Reviewed At January 22, 2026

Education:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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

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