Bad Teeth X-Ray – Is That Cavity?


An X-ray showing a black spot may indicate tooth decay, necessitating treatment. Addressing cavities as soon as they arise (circles A and B on an X-ray image) will avoid more costly and invasive procedures later. Discover the best info about رادیوگرافی دنداپزشکی.

The frequency of dental x-rays depends on each patient’s risk for oral issues; those with healthy mouths might need them every one or two years.

Dark Spots on X-Rays

Your dentist’s job is to detect potential issues with your teeth, jaws, and gums before they become severe and painful. One way we do this is with regular X-rays (radiographs). When patients come in for appointments with us, and we show them their X-rays, it is not unusual for them to ask, “I see some dark spots on my X-rays—does that indicate cavities?”

Dark areas on an X-ray indicate decay, as decayed parts of teeth are less dense than surrounding ones and, therefore, allow more x-rays through, creating darker spots on an X-ray image.

A cavity that’s still contained within enamel may be reversed with brushing, flossing, and fluoride. Once decay progresses into dentin, however, treatment becomes inevitable and irreversible; untreated decay may reach the nerve tissue of a tooth, inflicting pain and necessitating root canal treatment or crown placement to keep pain at bay.

Dark spots on an X-ray indicate cracks in a tooth, another reason we recommend that patients get their teeth checked on an ongoing basis. A cracked tooth can be very uncomfortable and should be addressed as soon as possible. Unfortunately, cracks don’t always show up during visual inspection, so we rely on X-rays to help diagnose them.

White Spots on X-Rays

White spots on X-rays indicate areas in which the X-ray beam cannot easily penetrate due to density, such as tooth enamel, dental restorations (fillings and crowns), calcifications, cysts or tumors, impacted teeth, or any number of other conditions.

Current metal (amalgam) dental fillings will usually appear bright white on an X-ray due to their dense composition, as few X-rays can penetrate them. Composite dental fillings and other low-density restorations, however, may not be visible at first glance, requiring professional interpretation for accurate diagnosis and treatment planning.

On x-rays, white spots known as “barnacles” appear, appearing like tiny or large clusters of dead bacteria or plaque. Your hygienist spends much of his/her time eliminating these “barnacles.”

As this x-ray shows, a developing cavity has already penetrated the enamel layer and begun eating away at the dentin beneath. A prompt response would ensure that this lesion does not progress further and compromise the integrity of either nerve tissue or the integrity of the tooth; such actions could range from monitoring, tooth removal, or root canal therapy as treatment options.

Black Spots on X-Rays

X-rays reveal cavities as dark spots with variable intensity and darkness, with deeper cavities casting darker shadows to indicate their severity and require intervention. Their location provides clues; for instance, on the biting surface, nestled between teeth, or along root surfaces, they could also give dentists an indication as to where intervention should take place. Furthermore, shape is another indicator of its severity.

As cavities start in the enamel (which appears white on x-rays), as they progress, they will move through it into the dentin (a softer material that appears darker on x-rays) and eventually reach nerve tissue within the tooth, where further treatment will likely be needed such as fillings or even root canal therapy.

X-rays are our go-to method of early cavity detection. When discovered early, fillings may suffice in restoring teeth; if allowed to progress all the way into nerve tissue, however, a more complicated repair may be required, which may involve extracting dead nerve tissue, reshaping and filling your tooth, and potentially needing root canal therapy to save it.

Unusual Shapes on X-Rays

Though visiting the dentist might not top your list of enjoyable activities, an X-ray can help detect problems in your teeth, gums, and jaw before they become serious. Catching and fixing dental problems such as cavities early can save money and pain—and possibly save lives!

All structures within your mouth, such as teeth and bones, can either be radiopaque or radiolucent. Radiopaque structures appear as white spots on an X-ray and represent solid structures, while radiolucent ones show up as dark spots as hollow or non-solid structures such as cavities (holes in teeth created when decay eats away at enamel and forms cavities), which appear as dark spots on an X-ray.

As cavities advance, they can eventually wear away enough enamel to expose dentin and nerve tissue in the center of a tooth, leaving visible dark spots visible on X-ray. Once that happens, dentists can intervene quickly to stop further damage to save it and save the tooth from further deterioration.

X-rays can also detect unerupted or missing teeth. An unerupted tooth could be stuck in its socket in the jaw bone, or it might have come out but was then blocked by another tooth; an X-ray can determine if this tooth still exists in its proper location, is coming out behind schedule, or has vanished altogether.