How Do I Know if I Have a Cavity? - BDG (2024)

Cavities are the most common dental problem. In fact, approximately 30% of American adults have untreated dental cavities. If cavities aren’t addressed, they can create long-term damage to the tooth, and even result in painful tooth infections and tooth loss. So how do you know if you have a cavity? Here are a few things to look for.

First, What is a Dental Cavity?

A dental cary, commonly known as a cavity, is a small hole in your tooth caused by tooth decay. Cavities happen when bacteria interact with sugars and starches left over on teeth and produce acids. These acids collect in pockets and crevices on a tooth’s surface and eat away at tooth enamel.

Since tooth enamel isn’t a living tissue, you won’t feel these first shallow cavities. However, as the cavity gets deeper, it will start to affect the tissue underneath the tooth enamel, like the dentin and tooth pulp.

How Do I Know if I Have a Cavity?

Bacteria can’t be seen without a microscope, so the holes that they create start out very tiny. At the beginning stages, it’s difficult to know if you have a cavity. Cavities aren’t generally visible to the naked eye unless they’ve gone untreated for a longer period of time. When a cavity is readily visible, it’s also more difficult to fix. The bacteria has caused extensive damage by this point, and maintaining the strength of the tooth will take more work.

However, before this stage, your dentist has tools to detect a cavity. Here are a few ways that your dentist and you can tell if you have a cavity.

X-Rays

Cavities mostly affect the insides of teeth, which none of us can see without special tools. This is where x-rays come in. X-rays provide an image of the insides of our bodies, including our teeth. In the same way that x-rays can show small fractures in bones or tears in muscles, they can also show the cavities that bateria create inside teeth.

Dentists and hygienists are trained to take your x-rays safely, and examine them carefully. Though these images might not look like they reveal much to the untrained eye, experts can detect the small pockets forming inside teeth using x-rays. This is one of the reasons why regular dental visits and x-rays are so important.

Holes in Teeth

At first, most cavities aren’t readily visible without an x-ray. However, as they progress, small holes may appear in your tooth. With careful inspection, you may be able to see these. Your dentist will have tools to help them take a closer look at your teeth, and they will be able to see these small holes more easily.

Cavities most commonly occur on the back teeth. These teeth have more grooves and surfaces where bacteria can hide in, and plaque can build up on. Back teeth are generally harder to get a good look at without special tools, and this is one of the reasons why it can be hard to know if you have a dental cavity. Also, cavities can occur near or under the gum line as well as on visible surfaces, so these will be particularly difficult to see.

Discoloration

When a cavity progresses to the dentin or dental pulp, it starts to affect the health of the tooth. At this stage, the tooth is susceptible to infection. As bacteria multiply inside the tooth and produce more acids, parts of the tooth may become discolored. If you notice a yellow, brown or black stain on your tooth, it can be a sign of a cavity or, worse, a tooth infection. At this stage, visit a dentist immediately.

Pain

A persistent toothache is another potential sign that you have a cavity. While there are many causes of tooth pain, untreated tooth decay is among the most common. If your tooth pain is particularly focused on one tooth, or if you notice that the tooth feels loose or weak, it’s likely that tooth decay is the cause.

Cavities can be difficult to detect at first, which is why it’s important to visit your dentist regularly. Dentist use special tools to help detect cavities early on, so they can be filled without reducing the strength of the tooth. If tooth decay is left untreated, it can cause infections and tooth loss. Brush twice daily, floss once daily, save surgery foods and drinks for treats and see your dentist regularly to help prevent cavities.

How Do I Know if I Have a Cavity? - BDG (1)

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How Do I Know if I Have a Cavity? - BDG (2024)

FAQs

How do you know for sure if you have a cavity? ›

Symptoms
  1. Toothache and other pain.
  2. Tooth sensitivity.
  3. Mild to sharp pain when eating or drinking something sweet, hot or cold.
  4. Holes or pits in your teeth that you can see.
  5. Brown, black or white staining on any surface of a tooth.
  6. Pain when you bite down.
Nov 30, 2023

How do I know if I have a cavity if I can't see it? ›

Cavity Signs and Symptoms
  1. Pain or a toothache that happens without warning.
  2. Sensitive teeth.
  3. Pain when you eat or drink sweet, hot, or cold things.
  4. Holes or pits in your teeth.
  5. Black, white, or brown tooth stains.
  6. Pain when you bite down.
Sep 6, 2023

Can you tell if you have a cavity by flossing? ›

If you notice that flossing the area causes your floss to shred or get stuck, that's another sign something is wrong. A smooth, healthy tooth won't cause floss to shred. But if there's a cavity or something else that needs attention, the floss can potentially get caught.

How to self check for cavities? ›

How To Tell If You Have A Cavity–Before It Gets Worse
  1. Tooth Pain. Typically, you will have pain when you have a cavity that's been untreated. ...
  2. Tooth Sensitivity. A less obvious sign of a cavity is tooth sensitivity. ...
  3. Holes in Your Teeth. ...
  4. Dark Spots On Your Tooth. ...
  5. Halitosis (Bad Breath) ...
  6. Pus. ...
  7. Chips Or Broken Tooth.

How bad is a cavity if I can feel it? ›

It's not uncommon for someone with a small cavity to experience severe sensitivity and pain, while someone with a large cavity with an abscess feels no discomfort whatsoever. Cavities may be completely asymptomatic (no symptoms), which is why it's beneficial to have your teeth routinely assessed by a dentist.

Can you feel a cavity with your finger? ›

Pits or Holes: If you notice that your teeth are staining and becoming darker, a hole or pit will likely follow if your cavity is untreated. While you may not be able to visibly see it, you may be able to feel it if you run your finger (wash your hands first!) or tongue over the tooth.

Can a cavity go away on its own? ›

However, unless a cavity is in the beginning stages of formation, it cannot heal naturally, especially for one that has broken through the dentin. When you start feeling pain in the localized tooth, it's a sign that the damage is too significant, and you should see a dentist for professional cavity treatment.

How to get rid of a cavity without a filling? ›

Here's how to get rid of cavities and protect your smile. If your cavity is in its early stages, you may be able to reverse the damage with professional fluoride treatment. Tooth decay that presents as a white or dark spot on the tooth enamel may be able to be fixed with a fluoride treatment at your dentist's office.

What can be mistaken for a cavity? ›

Both stains and cavities can appear as brown spots on your teeth. Stains aren't painful but cavities are. Tell tale signs of a cavity are teeth sensitivity, holes or markings in white, grey or black on teeth.

Is it too late if a cavity hurts? ›

Experiencing dental pain due to a cavity is not a situation to be taken lightly. Prompt action is key to preventing further complications and preserving your oral health. Dental pain does not necessarily indicate it's too late to address the issue, but delaying treatment can lead to severe consequences.

How long can you leave a cavity untreated? ›

How Long Can a Cavity Go Untreated? Generally speaking, small cavities can go without treatment for a few months or longer before becoming painful or causing other health problems. However, bigger cavities will require immediate attention from your dentist to prevent further damage.

Can I pick a cavity out? ›

Cavities, or tooth decay, are small holes in the teeth. As a result, there is no natural way to remove them at home. Only a dentist can fix a cavity by filling it in.

What is a Stage 1 early cavity? ›

Stage 1 early cavities usually do not cause pain and are discovered by a dentist or dental hygienist during a routine examination. They look like a small gray spot or a small area of ​​missing enamel. These cavities do not usually hurt because they have not reached the dentin layer where nerves rest.

Can you see a cavity in the mirror? ›

If you have good light and a mirror, you can light up your teeth, they should be transparent to light. If you notice any stains or black spots, those are possible cavities.

What does the start of a cavity feel like? ›

After consuming particularlty cold or sugary treats or beverages, a cavity frequently starts as a dull ache, but it can develop and cause more pain over time. It could also be tender. A cavity that is more severe may cause strong pain that lasts for a few seconds or longer.

How to know if it's a cavity or stain? ›

Surface stains often appear yellowish and can easily be corrected with whitening, but if they're accompanied by persistent pain, sensitivity, or visible holes, you're likely dealing with a cavity. If you notice signs of a cavity, it's crucial to visit your dentist for a checkup.

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