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How To Tell If You Have A Cavity Between Teeth

an old man having tooth ache

Cavities are common, but when they develop between teeth, they can be harder to detect. These are called interproximal cavities, and they often go unnoticed until they cause discomfort or visible damage.

This Queens Emergency Dental article explains the most common signs of a cavity between teeth, what causes them, how they are diagnosed, and what dental treatment options are available.

Early detection can prevent more serious dental problems and reduce the need for complex procedures and treatments.

What Is a Cavity Between Teeth?

A cavity between teeth, or interproximal cavity, is a type of tooth decay that occurs in the tight contact points where two adjacent teeth meet.

Plaque and bacteria build up in these narrow gaps, producing acids that gradually erode the enamel. Because toothbrushes often can't reach these areas well, flossing becomes essential in preventing them.

Common Causes

Cavities between teeth typically develop due to a combination of poor oral hygiene habits and certain lifestyle or health factors. Some common causes include:

  • Infrequent or improper flossing
  • Regular consumption of sugary or acidic foods and beverages
  • Dry mouth, which reduces saliva's natural protective effect
  • Skipping dental checkups and cleanings
  • Genetic factors that predispose individuals to decay

Early Signs of a Cavity Between Teeth

Interproximal cavities often begin silently, but there are several early warning signs that shouldn’t be ignored:

Tooth Sensitivity

You may feel a sudden sharp sensation when consuming hot, cold, or sweet foods. This typically occurs in one specific area and may come and go.

Pain When Biting or Chewing

A minor but sharp discomfort when applying pressure while eating can point to decay developing between teeth. This is often misattributed to general tooth sensitivity.

Discoloration

Look for slight brown or gray spots visible between teeth or under translucent enamel. These are often early signs of demineralization or enamel breakdown.

Advanced Signs

When interproximal decay is left untreated, it progresses beyond the enamel into deeper layers of the tooth, leading to more intense symptoms:

Persistent Toothache

A constant dull or throbbing pain near the affected area indicates the cavity has reached the dentin or even the pulp of the tooth.

Food Getting Stuck Often

If food frequently becomes lodged between the same two teeth, it may be due to enamel loss or structural damage that has widened the contact point.

Bad Breath

Chronic halitosis (bad breath) may result from trapped food particles or bacteria thriving in a decaying area between teeth.

Unpleasant Taste in the Mouth

Some people report a foul or metallic taste in their mouth when a cavity is actively decaying. This can be due to bacterial byproducts.

Swollen or Bleeding Gums

Decay between teeth can irritate the surrounding gum tissue, leading to localized inflammation, bleeding, or even signs that mimic early gum disease.

How Dentists Diagnose Interproximal Cavities

Dentists have several tools and methods to detect cavities between teeth—some of which go beyond what can be observed at home.

Visual Examination

During a checkup, a dentist may use mirrors and light to examine hard-to-see areas between teeth for signs of discoloration, inflammation, or surface irregularities.

Bitewing X-rays

These targeted X-rays are the gold standard for detecting interproximal cavities. They allow dentists to view the spaces between teeth where cavities often hide.

Tactile Detection

Dental instruments can be used to test the texture and hardness of enamel. If a spot feels softer or sticky, it may indicate decay.

Risk Factors

Some people are more prone to cavities between teeth due to a mix of lifestyle and biological factors:

  • Inconsistent flossing habits
  • Frequent snacking or sipping sugary drinks
  • Low saliva flow due to medications or medical conditions
  • Crowded teeth or tight dental contacts
  • Lack of fluoride exposure in toothpaste or water
  • Family history of dental problems

How to Prevent Cavities Between Teeth

Prevention is always better than treatment, and the following habits can significantly reduce your risk of interproximal decay:

Floss Daily

Flossing removes plaque and food particles from between teeth, where toothbrushes can't reach.

Use Fluoride Products

Fluoride strengthens enamel, making it more resistant to decay. Choose toothpaste and mouthwash that contain fluoride.

Limit Sugary and Acidic Foods

Cutting back on sugar, soda, and sticky snacks reduces the fuel that bacteria use to produce decay-causing acids.

Drink Water Frequently

Water helps rinse away food particles and supports saliva production, which is key to maintaining a healthy oral environment.

Visit the Dentist Regularly

Professional cleanings and exams every six months at Queens Emergency Dental us to detect and treat cavities early—before they become painful or complicated.

Treatment Options

Once a cavity between teeth is diagnosed, treatment depends on the severity and location of the decay:

Dental Fillings

For small to moderate cavities, tooth-colored composite fillings restore the damaged area after decay is removed.

Dental Bonding

If minimal enamel has been lost, bonding can seal and reshape the affected area using a resin material.

Crowns

A dental crown may be necessary when the tooth structure is significantly weakened or the cavity is too large for a standard filling.

Root Canal Treatment

If the decay has reached the pulp (nerve tissue), a root canal is required to clean out the infection and preserve the tooth.

What Happens If It's Left Untreated?

Avoiding treatment for a cavity between teeth can lead to several complications:

  • Increased pain and sensitivity
  • Infection of the tooth pulp or surrounding tissue
  • Spread of decay to neighboring teeth
  • Formation of dental abscesses
  • Tooth loss or the need for extraction

The longer the cavity goes untreated, the more complex and expensive the solution becomes.

When to See a Dentist

You should schedule a dental visit if you notice:

  • Unexplained sensitivity in one area
  • Pain when biting or chewing
  • Discoloration between teeth
  • Food getting stuck in the same place
  • Bad breath that doesn't go away with brushing
  • Swollen or irritated gums near a specific tooth

Prompt evaluation can save you discomfort and prevent the need for invasive treatment.

Queens Emergency Dental – Trusted Care in New York

If you suspect a cavity between your teeth or are experiencing any of the symptoms mentioned above, Queens Emergency Dental is here to help. Led by Dr. Maximilian Marks, our team offers modern dental solutions for early detection and fast relief.

Our office is conveniently located in Queens, NY, is open Monday through Friday from 8 AM to 7 PM, and on Saturday and Sunday from 9 AM to 5 PM to provide same-day emergency appointments and modern dental solutions.

Contact and book us today.

Conclusion

a close up shot of teeth

Cavities between teeth are common but can be difficult to detect without regular dental care. Symptoms like sensitivity, discoloration, and pain when chewing should not be ignored. With proper oral hygiene and timely dental visits, these cavities can be treated early—saving you discomfort, time, and money.

If you're experiencing any signs of a cavity, Queens Emergency Dental is ready to help with expert care and modern treatments. Don’t wait for the pain to get worse—take action today to protect your smile.

Frequently Asked Questions (FAQs)

Are interproximal cavities more serious?

They can be harder to detect and may go unnoticed until they cause significant damage, but they are treatable with early intervention.

Is flossing really necessary every day?

Yes. Flossing daily removes plaque and food debris from areas your toothbrush cannot reach.

Can a cavity between teeth heal on its own?

Once a cavity has formed, it will not heal without professional treatment. Early enamel erosion may be reversible, but decay must be addressed.

How often should I get dental X-rays?

Most dentists recommend bitewing X-rays every 12 to 24 months, but this varies depending on your risk level and oral health history.

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