Cavities are one of the most common dental issues affecting children. When plaque builds up on a tooth in a certain spot, over time it can create a pit or hole in the enamel. This is called a cavity. Small cavities are easily treated with fillings, and early detection can ensure they don’t become larger and require more complex treatment.
Regular dental checkups are the best way to detect cavities in the earliest stages. But if you’re wondering how to spot them before the next checkup, there are some signs to watch for. Here’s what you need to know to spot the early signs of cavities in children.
What is a Cavity?
A cavity is a hole that forms in the crown of a tooth, the part that is visible above the gums. It is caused by plaque, a sticky film made up of food residue and bacteria. When plaque remains on a tooth for too long without being removed by brushing or a dental cleaning, the bacteria eat away at the tooth enamel, forming a cavity.
Early Signs of Cavities to Watch For
Some signs of cavities can be detected prior to your child’s next dental checkup, such as:
- Visible discoloration or white spots on teeth
- Sensitivity to hot, cold, or sweet foods
- Complaints of tooth pain or discomfort
- Bad breath that doesn’t go away
- Visible holes or pits in teeth
If you notice any of these signs, don’t wait until your next appointment. Contact Andover Pediatric Dentistry and we will make arrangements to see your child as soon as possible.
What is a Dental Checkup?
A dental checkup is a routine visit to the dentist, sometimes called preventive and diagnostic dentistry. The goal of dental checkups is to prevent cavities and gum disease and to detect any existing problems so that they can be treated promptly. A comprehensive oral evaluation will be conducted to assess the current state of your child’s oral health. A dental checkup will also include a cleaning to remove plaque and tartar from the teeth. In some cases dental X-rays may be taken, which are used to detect cavities in non-visible areas of the mouth, such as between the teeth.
How are Cavities Treated?
Cavities are treated with fillings. During a filling procedure local anesthesia is used to numb the nerves in and around the affected tooth. The decayed portion of the enamel is removed and the hole is filled with composite resin that matches the color of the tooth. The resin is shaped and hardened for a natural look and function.
The Importance of Early Detection of Cavities
Early detection of cavities results in simpler treatment and better outcomes. A small cavity is much easier to treat than a larger, deeper cavity. Once a cavity is deep enough to reach beyond the top layer of enamel to the dentin (soft tissue underneath), the tooth is at risk of infection. The tooth may need a root canal and a crown because a filling may not be sufficient to fortify the tooth when a significant amount of enamel is lost.
How To Check Your Child’s Teeth for Cavities
Using a flashlight and a dental mirror if you have one, carefully inspect your child’s teeth. Look for white spots, discoloration, and holes or pits in the tooth surface. Try to make it fun and relaxed to prevent fear or anxiety. It may help to let your child inspect your teeth as well.
Not all cavities can be seen this way. Some form between the teeth or are too small to see with the naked eye. This is why dental checkups are important, as that is the best way to detect cavities.
Frequently Asked Questions About Cavities
Will a cavity go away on its own?
No, unfortunately cavities don’t heal or go away without treatment. They only worsen and become larger until the decay is removed and the tooth is filled.
Is it worth it to fill a cavity in a baby tooth?
While baby teeth do eventually fall out, filling a cavity in a baby tooth is still recommended in most cases. Unless the tooth is already loose and will be shed soon, a filling will allow the tooth to remain healthy and in place until it is ready to come out naturally.
Andover Pediatric Dentistry provides comprehensive dental care for children and teens in Andover, Lawrence, and the surrounding communities of Massachusetts. Our team is dedicated to providing a positive, comfortable environment where children feel at ease and excited about taking care of their teeth. To learn more, contact us today and schedule an appointment.

