Why do cavities turn black?

Written by Li Bao Hua
Dentistry
Updated on January 30, 2025
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Cavities generally appear black, while normal teeth are white. The structural changes in the dental tissues due to bacterial infection cause the hard tissues of the teeth to demineralize, enlarging the internal spaces of the teeth. This can cause cavities to appear black under the refraction of sunlight, resulting in a black appearance. Additionally, after the deterioration of the tooth due to decay, the breakdown of the hard tissue allows food residues or plaque to enter the cavities, which can also cause the cavities to turn black. This situation requires early dental filling to remove the decayed parts, followed by root canal treatment, otherwise it can lead to pulpitis, causing tooth pain.

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Will children's cavities grow new teeth?

Children's cavities can also regrow new teeth. Cavities, also known as dental caries, refer to the destruction of hard dental tissues under a bacterial infection. It is crucial to treat children's cavities early, otherwise, they may affect the underlying new teeth. If the cavity reaches the level of periapical inflammation, meaning the dental pulp tissues become pus-filled or necrotic, and gum abscesses appear, it could cause the newly emerged teeth to develop caries. Sometimes, it may also lead to abnormal eruption pathways of the new teeth, such as abnormal eruptions on the lip side or cheek side, resulting in misaligned teeth, which can impact the arrangement of the child’s primary or permanent teeth.

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What should I do about bad breath caused by dental caries?

If a patient is suffering from dental caries that have already caused bad breath, the situation requires active treatment targeting the dental caries. Due to the ease with which food residue and bacteria can accumulate in cavities, this will cause an odor in the mouth. Initially, it is essential to clear out food debris, bacteria, and any decayed material from the cavity. If the cavity is shallow, it can be directly filled with light-cured resin material. After the cavity is filled, the patient's bad breath symptoms should be alleviated. However, if the cavity is deep, it should first be treated with a pulp-protecting base before filling. If the dental nerve is affected, causing pulpitis, root canal treatment must be conducted first.

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Will tooth decay recur after a filling?

Cavities are a type of chronic, progressive destructive disease caused by bacterial infection of the hard tissues of the teeth. Normally, a cavity should not recur after being filled, but each dental filling material has a certain degree of microleakage. If glass ionomer materials are used, the microleakage is somewhat larger, and after filling, there might be tiny gaps between the edge of the filling material and the tooth, where bacteria can continue to infect, also known as secondary caries, necessitating timely refilling of the tooth. If resin-based materials are used, the microleakage is relatively smaller, and the likelihood of recurrence after the filling is smaller.

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What will happen if tooth decay is not treated?

If dental caries are not treated, they may further infect and cause inflammation of the dental nerves, leading to pulpitis or apical periodontitis, causing severe pain. When apical periodontitis occurs, it may sometimes lead to a space infection, which is facial swelling. If the inflammation is not controlled in time, it may also cause osteomyelitis of the jawbone. Therefore, dental caries need to be treated as early as possible. Dental caries are caused by bacterial infections that lead to the decay of the hard tissues of the teeth; in the early stages of decay, using a drill to stop the development of the disease—namely, timely filling—can effectively control the further progression of dental caries. If dental caries further infect and cause inflammation of the dental nerves, it can lead to pain while eating or sleeping, sometimes waking from sleep due to pain, and in severe cases, it can cause facial swelling.

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Does tooth decay easily cause bad breath?

Cavities can easily cause bad breath. If there are cavities, food will remain in the holes of the cavities, get stuck, and ultimately compress the gums, and it will be difficult to clean. Foods are prone to ferment and produce acids causing bad odors, and the gums can also become inflamed, and even suppurate, which also produces bad smells. Therefore, if you have cavities, you should go to a regular hospital's dental department and receive targeted treatment under the guidance of a dentist. It is essential to develop good oral hygiene habits, brush your teeth in the morning and evening using the internationally recognized Bass brushing technique, rinse your mouth after meals, learn to use dental floss to remove food residues in tooth gaps, and treat cavities promptly to prevent them from deepening and causing more severe consequences.