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Q. What is the cause of a black hole with pain in the tooth?

Answered by
Dr. Raghu
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 09, 2022

Hello doctor,

I am 33-years-old, and I have tooth pain, and there is a black hole in it. There has been a pain for the past three days.

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Hello,

Welcome to icliniq.com.

I have read your query, and I will help you out.

I would like to know which tooth is paining and is the pain continuous or intermediate? There are multiple reasons for pain. As you have mentioned the black hole, the tooth pain may be because of dental caries that have gone deep into the tooth and caused an infection. For better investigation, an intraoral periapical radiograph (IOPA) of that tooth and an intra-oral picture are needed. Tooth pain due to dental caries is very common. Taking medication can be a temporary solution, but proper treatment is necessary for permanent relief. If the decay is very deep, a root canal procedure is needed in which the decay and infection are removed, and the tooth is restored.

Have a great day.


The Probable causes:

The probable cause is dental caries.

Investigations to be done:

An intraoral periapical radiograph (IOPA) of that tooth should be taken for investigation.

Differential diagnosis:

The differential diagnosis includes dental caries with irreversible pulpitis, periodontal problem, or

ulcers.

Probable diagnosis:

The probable diagnosis is dental caries with irreversible pulpitis.

Treatment plan:

The treatment plan advised is the restoration of the tooth.

Preventive measures:

Flossing, brushing, and mouthwash are the preventive measures to be taken.

Regarding follow up:

Follow-up should be done after taking the x-ray.


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