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Black dot inside of mouth: Causes and What Needs to Be Treated

Causes and What Needs to Be Treated

Finding a black spot or dot on the inside of your cheek can be alarming, but it’s not necessarily a sign of something serious.

A variety of harmless conditions can cause discoloration in your mouth, such as moles, hyperpigmentation, and leakage from your dental fillings.

In extremely rare cases, a black spot may be a sign of a type of cancer called oral melanoma. Oral melanoma accounts for about 1.6 percent of cancers of the head or neck, and less than 1 percent of all melanomas, according to The Oral Cancer Foundation.

Keep reading to find out what may be causing a black spot on the inside your cheek and when you should see your doctor.

The following conditions may cause a black dot, a small, circular mark, to form on the inside of your cheek.

Oral nevi

Oral nevi are small brown, bluish gray, or almost black dots that can appear inside your mouth. Nevi is a medical term for moles (nevus is singular).

Oral nevi are usually slightly raised. They’re more common on the roof of the mouth or inner lip, but they can also form on the cheeks. They usually don’t cause any symptoms.

No treatment is usually necessary for an oral nevus, and there are no reports of an oral nevus becoming cancerous. However, your doctor or dentist may still recommend getting a biopsy to make sure it’s indeed a nevus and not melanoma.

Blood blister

Blood blisters are sacs of fluid that fill with blood. They can range in color from purple to dark red. They commonly form when the skin in your mouth gets pinched.

Blood blisters are often big enough that you can feel them with your tongue. They most often form on the soft parts of your mouth, like your cheek or inner lips. They’re typically painful when touched, or if you eat spicy food.

The majority of blood blisters don’t last long and don’t need treatment if you leave them alone. But if the blood blister lasts for more than 2 weeks or becomes a reoccurring problem, it’s a good idea to visit your doctor.

Melanotic macules

Oral melanotic macules are areas of hyperpigmentation that average about a quarter of an inch in diameter. They can be as small as 0.04 of an inch. These spots are typically flat and have a well-defined border.

Oral melanotic macules are noncancerous, but your doctor may recommend a biopsy to rule out melanoma.

The following are potential causes of dark spots on the inside of your cheek. Spots can vary in size but they are larger than a dot.

Leakage from a dental filling

Amalgam is a material made of mercury, tin, zinc, silver, and copper. It’s been used for more than 150 years for dental fillings.

Amalgam tattoos are leakages from these dental fillings. They’re relatively common and usually appear dark blue, gray, or black. They’re most often located next to a filling.

Amalgam tattoos don’t cause any symptoms and don’t need treatment. They’re permanent unless removed with laser surgery.

Smoker’s melanosis

Smoking can leave blotchy stains called smoker’s melanosis inside your cheeks and gums. About 22 percent of people who smoke have this staining.

These stains don’t cause symptoms and don’t need treatment. However, your doctor will likely recommend a biopsy to rule out other conditions. The stains can be removed with laser treatment or electrosurgery.

Oral cancer

Melanoma is a type of skin cancer that affects pigmented cells called melanocytes.

Melanoma is most common on parts of your skin frequently exposed to sunlight, but it can also form in your mouth and nose. In extremely rare cases, a dark spot inside your cheek may be a sign of oral melanoma.

In its early stages, oral melanoma often has minimal symptoms. It usually manifests as a dark brown to blue-black spot. It can also be unpigmented or white. In its late stages, the spot may be accompanied by pain, ulcers, and bleeding.

The average age of diagnosis of oral melanoma is 56. Oral cancer is twice as common in men as women.

Treatment for oral melanoma may include:

  • surgery
  • immunotherapy
  • radiation
  • drug therapy

Peutz-Jeghers syndrome

Peutz-Jeghers syndrome is a condition that causes noncancerous growths called polyps in the intestines and stomach.

Children who develop this condition also commonly develop dark spots on their lips, inside their mouth, near their eyes and nose, and around their anus. The spots usually fade with age.

People with Peutz-Jeghers syndrome also often develop complications such as pain, bleeding, or bowel obstruction.

There’s no current cure for Peutz-Jeghers syndrome, but surgery can remove the polyps in the digestive tract.

Addison’s disease

Addison’s disease, or adrenal insufficiency, is a deficiency of the hormones produced by your adrenal glands. One of the symptoms of Addison’s disease is hyperpigmented blotches of skin inside your mouth.

Other symptoms include:

  • extreme fatigue
  • weight loss
  • salt cravings
  • low blood sugar
  • hyperpigmentation

You can take medication to replace the hormones your adrenal glands can’t produce by themselves.

Even though the chances of developing oral melanoma is very low, it’s good practice to see your doctor whenever you notice an abnormally colored spot or dot in your mouth.

It’s especially important to get the spot checked if you’re older than 55 years. Older adults have a higher risk for developing oral cancer.

Your doctor may use the following tests to help confirm a diagnosis of the dark spot inside your cheek:

  • Physical inspection. Your doctor may be able to identify the spot during a physical examination simply based on its appearance.
  • Biopsy. During a biopsy, your doctor will cut away a small piece of the spot and send it to a lab for analysis.
  • Blood test. Your doctor may administer a blood test measuring your potassium, cortisol, and ACTH hormone levels if they suspect Addison’s disease.

Finding a dark spot or dot in your mouth is unlikely to be a sign of cancer. However, it’s still a good idea to show it to your doctor or dentist. If it does turn out to be cancerous, getting an early diagnosis and treatment can improve your outlook.

Causes and What Needs to Be Treated

Finding a black spot or dot on the inside of your cheek can be alarming, but it’s not necessarily a sign of something serious.

A variety of harmless conditions can cause discoloration in your mouth, such as moles, hyperpigmentation, and leakage from your dental fillings.

In extremely rare cases, a black spot may be a sign of a type of cancer called oral melanoma. Oral melanoma accounts for about 1.6 percent of cancers of the head or neck, and less than 1 percent of all melanomas, according to The Oral Cancer Foundation.

Keep reading to find out what may be causing a black spot on the inside your cheek and when you should see your doctor.

The following conditions may cause a black dot, a small, circular mark, to form on the inside of your cheek.

Oral nevi

Oral nevi are small brown, bluish gray, or almost black dots that can appear inside your mouth. Nevi is a medical term for moles (nevus is singular).

Oral nevi are usually slightly raised. They’re more common on the roof of the mouth or inner lip, but they can also form on the cheeks. They usually don’t cause any symptoms.

No treatment is usually necessary for an oral nevus, and there are no reports of an oral nevus becoming cancerous. However, your doctor or dentist may still recommend getting a biopsy to make sure it’s indeed a nevus and not melanoma.

Blood blister

Blood blisters are sacs of fluid that fill with blood. They can range in color from purple to dark red. They commonly form when the skin in your mouth gets pinched.

Blood blisters are often big enough that you can feel them with your tongue. They most often form on the soft parts of your mouth, like your cheek or inner lips. They’re typically painful when touched, or if you eat spicy food.

The majority of blood blisters don’t last long and don’t need treatment if you leave them alone. But if the blood blister lasts for more than 2 weeks or becomes a reoccurring problem, it’s a good idea to visit your doctor.

Melanotic macules

Oral melanotic macules are areas of hyperpigmentation that average about a quarter of an inch in diameter. They can be as small as 0.04 of an inch. These spots are typically flat and have a well-defined border.

Oral melanotic macules are noncancerous, but your doctor may recommend a biopsy to rule out melanoma.

The following are potential causes of dark spots on the inside of your cheek. Spots can vary in size but they are larger than a dot.

Leakage from a dental filling

Amalgam is a material made of mercury, tin, zinc, silver, and copper. It’s been used for more than 150 years for dental fillings.

Amalgam tattoos are leakages from these dental fillings. They’re relatively common and usually appear dark blue, gray, or black. They’re most often located next to a filling.

Amalgam tattoos don’t cause any symptoms and don’t need treatment. They’re permanent unless removed with laser surgery.

Smoker’s melanosis

Smoking can leave blotchy stains called smoker’s melanosis inside your cheeks and gums. About 22 percent of people who smoke have this staining.

These stains don’t cause symptoms and don’t need treatment. However, your doctor will likely recommend a biopsy to rule out other conditions. The stains can be removed with laser treatment or electrosurgery.

Oral cancer

Melanoma is a type of skin cancer that affects pigmented cells called melanocytes.

Melanoma is most common on parts of your skin frequently exposed to sunlight, but it can also form in your mouth and nose. In extremely rare cases, a dark spot inside your cheek may be a sign of oral melanoma.

In its early stages, oral melanoma often has minimal symptoms. It usually manifests as a dark brown to blue-black spot. It can also be unpigmented or white. In its late stages, the spot may be accompanied by pain, ulcers, and bleeding.

The average age of diagnosis of oral melanoma is 56. Oral cancer is twice as common in men as women.

Treatment for oral melanoma may include:

  • surgery
  • immunotherapy
  • radiation
  • drug therapy

Peutz-Jeghers syndrome

Peutz-Jeghers syndrome is a condition that causes noncancerous growths called polyps in the intestines and stomach.

Children who develop this condition also commonly develop dark spots on their lips, inside their mouth, near their eyes and nose, and around their anus. The spots usually fade with age.

People with Peutz-Jeghers syndrome also often develop complications such as pain, bleeding, or bowel obstruction.

There’s no current cure for Peutz-Jeghers syndrome, but surgery can remove the polyps in the digestive tract.

Addison’s disease

Addison’s disease, or adrenal insufficiency, is a deficiency of the hormones produced by your adrenal glands. One of the symptoms of Addison’s disease is hyperpigmented blotches of skin inside your mouth.

Other symptoms include:

  • extreme fatigue
  • weight loss
  • salt cravings
  • low blood sugar
  • hyperpigmentation

You can take medication to replace the hormones your adrenal glands can’t produce by themselves.

Even though the chances of developing oral melanoma is very low, it’s good practice to see your doctor whenever you notice an abnormally colored spot or dot in your mouth.

It’s especially important to get the spot checked if you’re older than 55 years. Older adults have a higher risk for developing oral cancer.

Your doctor may use the following tests to help confirm a diagnosis of the dark spot inside your cheek:

  • Physical inspection. Your doctor may be able to identify the spot during a physical examination simply based on its appearance.
  • Biopsy. During a biopsy, your doctor will cut away a small piece of the spot and send it to a lab for analysis.
  • Blood test. Your doctor may administer a blood test measuring your potassium, cortisol, and ACTH hormone levels if they suspect Addison’s disease.

Finding a dark spot or dot in your mouth is unlikely to be a sign of cancer. However, it’s still a good idea to show it to your doctor or dentist. If it does turn out to be cancerous, getting an early diagnosis and treatment can improve your outlook.

90,000 possible causes and treatments. Mouthwashes. Dental Anti-Inflammatory Gel

Dentists recommend having periodic check-ups so that problems can be noticed in a timely manner. If a black dot is found in the mouth on the cheek, then this may indicate the onset of inflammation or injury. It is very important to detect the existing problem in a timely manner and start treatment with drugs, as well as use mouth rinses. In some cases, antibiotic therapy is required.

Causes of appearance

If a black dot has formed in the mouth on the cheek, this may be due to an injury. It can be in case of accidental biting of delicate tissue. A small hematoma remains at the site of the injury, which resembles a dot or a black bump. This is a common bruise or bruise located inside the mouth. Damage can be done in another way, namely:

  • when biting a hard object;
  • while eating;
  • for bruxism.

Often a black dot inside the cheek occurs as a result of constant friction and pressure on the mucous membrane. The problem is quite relevant after the installation of braces. Sometimes the orthodontist violates the technology or does not twist the structure well enough. When talking or chewing, it scratches the gums, leaving behind black bruises. In this case, you need to remove all the lining and repeat the procedure.

If a black dot regularly appears in the mouth on the cheek, the dentist should check the integrity of the teeth. A destroyed crown can scratch and injure the mucous membrane with a sharp edge. With the traumatic formation of dark hematomas, no special treatment is required. After the cause is eliminated, they resolve on their own without a trace. With repeated injury, there may be an open wound that becomes infected with bacteria. Therefore, large hematomas inside the cheeks must be treated with special ointments.

Cheek ulcer in the mouth: possible causes, methods of treatment

Signs and symptoms

The reasons for the appearance of a black dot in the mouth on the cheek can be different. All of them are united only by the fact that as a result a hematoma is formed, filled with bloody contents.

When an infection joins, additional symptoms may occur, such as:

  • general malaise;
  • temperature increase;
  • weakness;
  • puffiness;
  • blistering;
  • appearance of ulcers in place of blisters;
  • itching or soreness;
  • decreased appetite;
  • bad breath.

Sometimes general malaise is accompanied by enlarged lymph nodes. If these symptoms appear, you should contact your dentist for diagnosis and treatment.

First aid

If black dots have formed on the inside of the cheek, then you should not resort to self-treatment, but it is simply necessary to provide first aid to the sick person. In case of painful sensations, they can be alleviated with a solution of soda. It is also useful to rinse the mouth with decoctions of medicinal herbs.

“Maalox” will help to anesthetize in a short time. This remedy causes numbness in the mouth and has an analgesic effect.

Carrying out treatment

If you bit your cheek, an ulcer has formed, what to treat, only the dentist can determine after the examination. If the blood clot interferes, then such a bubble can be punctured. The doctor also prescribes rinsing with antiseptics, in particular, such as Furacilin or Chlorhexidine. You can also carry out oral baths with decoctions of chamomile herbs or oak bark. These solutions help eliminate signs of inflammation.

Ulcer on the cheek in the mouth: possible causes, treatment methods

In addition, sores in the mouth appear due to weakness of blood vessels. To strengthen their walls, you can use vitamin A, C, E, K, vitamins of group B. You can also stimulate and maintain immunity. To do this, it is recommended to take multivitamin preparations that contain all the required substances.

When the cheek is bitten from the inside, what to treat, the doctor will determine after the diagnosis, since there is no universal method. It all depends on the disease. During therapy, it is important to eliminate the provoking factor.

In aphthous ulcers, the use of anti-inflammatory gels and rinsing of the mouth with Chlorphillipt and Cholisalom is indicated. As a means for topical application, the doctor prescribes antiviral, healing drugs and antiseptics. The acute course of the disease requires the use of antibiotics.

Treatment of pemphigus involves the use of hormonal corticosteroids. In this case, the therapy is carried out in a hospital. When new rashes appear, maintenance dosages of drugs are prescribed. For a speedy recovery, rinsing the mouth with Miramistin is required, as well as the use of anesthetic gels and ointments. To normalize the functioning of the immune system, multivitamin complexes are prescribed.

Treatment of hematoma on the buccal mucosa must necessarily take place under the supervision of a doctor. Self-medication is not recommended, as this can only aggravate the problem.

Mouth rinses

Proper oral hygiene includes the use of mouth rinses. If a person complies with all the rules, then he visits the dentist, only for the purpose of prevention. There are many different rinse aids, so it is important to choose the right one for you. According to the reviews and recommendations of dentists, the most popular are such tools as:

Cheek stomatitis: the best treatment regimen

  • Listerine;
  • “Splat”;
  • Lakalut;
  • Asepta;
  • Paradontax;
  • Colgate.

Listerine mouthwash is very popular. The price and instructions of this tool are affordable, so everyone can easily use it. The conditioner contains anti-inflammatory substances in its composition. It is used for periodontitis, helps to eliminate gum disease and bad breath.

It has a reasonable price. The instructions for the Listerine mouthwash indicate that it protects the mucous membranes and teeth, is easy to use, and also creates a slight whitening effect. The disadvantages include a not very pleasant sharp aftertaste, as well as the appearance of a burning sensation in the mouth.

The well-known antibacterial agent “Splat” has a whitening effect, has an anti-inflammatory and hemostatic effect. It prevents the formation of stone and plaque, which means it prevents the development of periodontitis. Does not contain alcohol and fluorine.

Mouthwash can be used to prevent many diseases. It has a pleasant aroma, as well as an affordable price. Of the minuses, a specific aftertaste and high concentration should be noted.

Elmex Rinse does not contain antiseptics and alcohol and is used to protect enamel. It can be used daily. Approved for use by children from 6 years of age. It freshens breath and cleans the mouth. The disadvantages include the high cost of funds.

The Italian preparation President is made on the basis of medicinal herbs. It does not contain alcohol and has anti-inflammatory and antibacterial effects. This tool reduces the risk of tartar formation and reduces the sensitivity of the enamel. It has a pleasant aroma and taste, but its cost is quite high.

Colgate Total Pro’s unique mouthwash formula helps fight bad bacteria in your mouth, helps reduce bleeding and gum disease, and freshens breath. It has a pleasant aftertaste and is suitable for daily use.

Lacalut Active rinse has an astringent effect and is used for bleeding gums. This remedy protects the teeth well. It is used in courses of 21 days. Does not contain alcohol. It has a pleasant taste and aroma.

“Asepta” contains two antiseptic substances, due to which it has an analgesic and antibacterial effect. It is used for inflammation of the gums. The course of therapy is no more than 2 weeks. Otherwise, dysbacteriosis may develop.

According to the instructions for use, chlorhexidine bigluconate 0.05% is used to combat pathogenic microorganisms in the oral cavity. That is why, it is widely used in dentistry. The drug has no age restrictions, but for children 3 years old, special care must be taken when using it.

Ulcer on the cheek in the mouth: possible causes, methods of treatment

You can also use chamomile to rinse your mouth. This is a natural remedy that has a pronounced anti-inflammatory effect and has practically no contraindications.

What is it used for

Quite a lot of discomfort is caused by biting the cheek from the inside. What to treat, many people who are faced with this problem are interested in. To prevent the development of an infectious process, rinses are used. In addition, they are indicated for complex oral care and for:

  • bacterial control;
  • prevention of tartar formation;
  • caries protection;
  • strengthening of tooth enamel;
  • elimination of bleeding gums.

Even the most thorough brushing of teeth cannot completely eliminate all bacteria, as most people do not pay enough attention to cleaning the inside of the cheeks and tongue. It is on the mucosa that a significant part of the bacteria accumulates. The use of rinses helps to reduce the number of bacteria, as well as reduce the likelihood of their growth and reproduction. Pathogenic microorganisms provoke the appearance of bad breath, and also contribute to the development of dental diseases.

Tartar is hard formations on the enamel. They can only be removed by professional teeth cleaning. To prevent this problem, you need to use a rinse aid that slows down the process of plaque formation. It also reduces the acidity of the oral cavity and reduces the risk of caries to a minimum.

Rinses contain fluorine, which has a mineralizing effect on the enamel. Also, this tool reduces the sensitivity of the teeth, as it normalizes the level of acidity and reduces the effect of irritating substances on the enamel. The active ingredients that make up the product destroy pathogens.

How to choose the right one

Each type of rinse is designed to solve a specific problem, as it contains a specific set of active ingredients. When choosing a tool, you need to focus on the existing problem. If you bit your cheek, then the following types of preparations are suitable:

  • elixirs for gums;
  • antifungals;
  • dry;
  • against caries.

Elixirs have an anti-inflammatory effect, improve the microflora of the oral cavity. In addition, they eliminate puffiness, increase blood circulation, and heal wounds. These should be used before brushing your teeth.

Antifungals contain iodine. They are indicated for people with thyroid diseases. This remedy is rubbed into the gums up to 4 times daily. Dry are used for purulent inflammation. They are available in powder form. They must be diluted with water before use. Not suitable for daily use.

For regular use, it is better to buy products based on herbal extracts. You need to pay attention to the composition of the product. If it contains ethyl alcohol, then it should not be used by drivers and children.

Anti-inflammatory ointments and gels for the mouth

If you have bitten your cheek and an ulcer has formed, many people are interested in treating it, as it causes significant discomfort. Treatment in this case should be timely and comprehensive. An integral part are dental gels that help eliminate inflammation and pain. They can be used on the recommendation of the attending doctor after the examination.

Before deciding on the choice of medicine, you need to study the chemical composition so as not to harm the oral mucosa and human health. The analgesic effect is exerted by such drugs as Solcoseryl, Cholisal, Apident Active.

Cholisal promotes the elimination of puffiness, suppresses the attack of pain and removes increased bleeding of the gums. The medicine must be injected into the gum pockets and after that do not eat for 30-40 minutes. The course of treatment is 10-14 days.

Solcoseryl accelerates the recovery of damaged tissues. After the first application, inflammation disappears, the gums are restored, and an acute attack of pain is also eliminated.

Apident Active is made on the basis of propolis. Active ingredients eliminate pain and inflammation. Anti-inflammatory drugs include Kamistad, Metrogil Denta, Asepta.

When purchasing a drug, you need to study the instructions for use and reviews about Metrogil Dent. The price of the product is affordable, and the result is noticeable almost immediately after use. This is a combined remedy, made in the form of a gel. It contains antibiotic and antiseptic. This combination contributes to the rapid disposal of pathogenic microflora.

The drug “Kamistad” is a gel that contains components of plant origin. It helps to quickly eliminate inflammation and provides analgesic effect.

How it works

Gels and ointments are an adjunct to antibiotic therapy. They have anti-inflammatory and regenerating effects, accelerating the healing process.

Such products are highly effective, firmly fixed on the gums and do not have an unpleasant odor, providing a fairly good access of active ingredients to hard tissues. They include antiseptic and antibiotic. The result of its application is noticeable after the first procedure.

How to use it correctly

Before using the gel, you need to consult a doctor and read the instructions for the drug. It is intended only as applications and compresses. It is recommended to carry out the procedures between meals and at the same time reduce salivation. In order for the action to be targeted and soft, you must follow such rules as:

  • check the absence of allergies to the components of the product;
  • apply a thin layer;
  • do not eat or drink for 30 minutes;
  • the number of sessions per day is 4-5;
  • do not exceed the daily dosage.

If irritation and itching appear in the oral cavity, the drug should be changed immediately.

Prevention of black spots in the mouth

To prevent the problems associated with inflammation and rashes in the mouth, you need to follow a few simple rules, namely:

  • maintain immunity at the required level;
  • observe the rules of hygiene;
  • wash hands after visiting the street;
  • visit the dentist every six months.

If you have any problems, you should immediately consult a doctor for diagnosis and treatment.

Black dots on teeth: how to remove?

Information updated: 04/15/2022

Many patients are concerned about dark spots on the enamel. They spoil the appearance of the teeth and make you feel ashamed of your smile. In addition to a violation of aesthetics, small black dots can be symptoms of enamel destruction. Therefore, when they are formed, you should not hesitate to contact the dentist. In this article, we will look at the causes of dark spots and dots on the teeth, as well as talk about methods for their removal.

Contents

Dark spots and small black dots on the teeth may be pigmented plaque or a symptom of dental disease. The cause of a small defect can be:

✔️ Improper hygiene

If the hygiene rules are not followed systematically, plaque remains on the enamel. Stained with food pigments, it forms persistent dark spots. In addition to the aesthetic defect, food residues containing a large number of pathogenic bacteria are dangerous for oral health. Over time, plaque leads to tartar, cavities, inflamed and bleeding gums, and bad breath.

✔️Caries

Almost every patient has black spots on their molars. They arise as a result of a suspended initial caries, when the enamel is temporarily demineralized and then remineralized. As a result of such changes, a dense carious spot of light brown or black color is formed.

Usually stopped caries does not require treatment, if the cavity was not found in the tooth during probing and on the picture. However, if the process has affected deeper tissues and the tooth has begun to deteriorate inside, then the dentist will recommend a filling.

✔️Smoking

Dark plaque on the teeth is a problem for many smokers. Tobacco smoke contains tar, which is deposited on the teeth in the form of black spots and small black dots. Especially the pigment accumulates on the front lower teeth from the inside and in the interdental spaces. The smoker’s plaque is very persistent, so the patient cannot remove it with a brush on his own.

The use of folk remedies for cleaning stains on the teeth is of little help and is not recommended by dentists. For example, baking soda and activated charcoal are strong abrasives. They leave behind scratches on the enamel and erase it. Such a rough impact deprives the teeth of smoothness, which subsequently leads to an increased accumulation of plaque on a rough surface.

✔️ Fluorosis

The disease occurs in areas where the water contains an increased amount of fluoride. At the advanced stage of the disease, spots appear on the teeth that have a color from white to dark brown. Sometimes there are small defects in the enamel, which have a rounded shape. The diameter of the specks is 1.0-1.5 mm, and the depth is 0.1-0.2 mm. Their bottom may be yellow or dark.

✔️Enamel erosion

This type of pathology is referred to as non-carious enamel lesions. Outwardly, erosion looks like an oval defect, which is usually localized on the convex part of the tooth. Over time, erosion increases, affects the deeper layers of tooth tissues and darkens under the influence of food pigments.

✔️Fill defects

Small black dots may form on the filling. This happens if pores have formed in the material during the restoration, into which the food pigment has penetrated. The same defects can be formed in the areas of cleavage of the filling material. To exclude such cosmetic defects, our dentists use nanocomposites, follow the restoration protocol and carefully polish the tooth after filling.

✔️ Medication use

Prolonged rinsing of the mouth with chlorhexidine, hexatidine and cetylperidine chloride causes darkening of the enamel. The same is observed when taking iron supplements. Chlorhexidine causes a brown-black discoloration visible around the labial and lingual surfaces of anterior teeth as early as 7-10 days of use. Therefore, dentists do not recommend the use of antiseptics for longer than the prescribed period.

To eliminate a cosmetic defect on the front and molars, the doctor first conducts a diagnosis. This is necessary to determine why small black dots began to appear on the enamel.

Methods that restore the normal color and health of the teeth:

✅ Caries

If the enamel is dense in darkened fissures of the indigenous tooth and there is no carious defect, then the molyar is not treated. The doctor recommends regular check-ups, professional cleanings and deep fluoridation. However, if the dark spot is soft when probing, then the dentist treats caries. To do this, the doctor removes the altered tissues under anesthesia and restores the defect with a composite to match the color of the enamel.

✅Professional Hygiene

If poor hygiene, smoking, taking iron supplements and chlorhexidine rinsing are the cause of dark spots, the doctor prescribes a professional cleaning of the teeth. Using an ultrasonic and Air-flow powder blasting device, the doctor removes tartar and pigmented plaque. Then polishes the enamel with brushes and rubber bands with paste. After this procedure, the teeth become brighter due to the gentle removal of contaminants.

✅Clinical whitening

For those who want to make their enamel snow-white after cleaning, in our clinics in Moscow, whitening is performed with a laser and the Zoom method. The procedure helps to change the natural shade of the enamel by 8-12 tones in just one visit. The composition of the gel is safe and strengthens the teeth. Amorphous calcium phosphate is added to it. Therefore, along with whitening, teeth are protected from caries.

To prevent the formation of dark spots and small black dots on the enamel, dentists recommend the following recommendations:

  1. Brush your teeth properly. Our dentists teach patients how to properly brush their teeth and select the right hygiene products. This reduces the amount of pigmented plaque formation and the risk of developing caries. With regular and proper brushing, the teeth are bright and smooth, the gums do not bleed, and there is no bad breath.
  2. Regular professional hygiene. It is necessary to remove dental deposits from hard-to-reach surfaces every six months. To remove them, the doctor does ultrasonic and Air-flow powder blasting.
  3. Strengthen enamel. To prevent caries, dentists recommend deep fluoridation. For preventive purposes, this should be done every time after professional hygiene.
  4. Polish fillings. To restore the original color and luster of composite restorations, it is necessary to polish them annually at the dentist. Unlike ceramic veneers, yellow and dark stains from cigarettes, coffee and strong tea can form on fillings. They need to be removed with special polishing discs and rubber bands.
  5. Monitor fluoride intake. This item applies to patients living in regions where drinking water contains too much fluoride. To do this, avoid toothpastes and rinses with fluoride, use bottled water for cooking and drinking.
  6. Reduce carbohydrate intake. It has been clinically proven that the consumption of large amounts of sweets and carbonated drinks containing sugar increases the risk of tooth decay.

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In our clinics, various methods are used to restore the beauty and integrity of the enamel. Regardless of the cause of formation, all aesthetic defects of the teeth are eliminated safely and painlessly. Careful diagnosis and selection of a treatment method helps to quickly solve the problem and avoid possible complications. Thanks to this, our patients maintain the health and beauty of their smile.

Questions and answers

Ask a question

✅ I have caries, there is a black hole in the tooth, and on the other tooth on the side near the gum, too, but the hole is smaller, I’m afraid to treat, suddenly something will happen, but I already want to cure it as soon as possible teeth.

Caries treatment is one of the most common procedures performed in our clinics. It is completely painless and comfortable. The doctor, under local anesthesia, will carefully remove carious tissues so that the tooth does not deteriorate further. Then, the missing dentin and enamel will be built up in layers with a nanocomposite light-curing material. Turning to our professionals, you will not only save the tooth from destruction, but also make them healthy and beautiful.

✅ How to understand black dots due to fluorosis or caries?

Caries looks like a single spot, it does not spread throughout the tooth as small black dots. Most often it is formed in fissures (depressions on molars, premolars) and on contact surfaces. Unlike caries, fluorosis occurs on any part of the tooth, and white and dark brown defects form symmetrically throughout the entire dentition.

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, we will forward your question to a specialist and provide an answer on this page. Please note that due to the large number of questions and the workload of doctors, the response time has been increased.