Severe Cavitations

If left untreated, brown cavitations then progress, often quite rapidly, to larger and deeper carious lesions that progressively destroy the tooth. Parents may state that "the teeth grew in looking like this."

Appearance & Symptoms

  • Multiple dark cavities appear in predominantly anterior teeth.
  • Abscesses and fistulae may be present.
  • Patient may experience pain, but children may be too young to accurately verbalize it.

Treatment & Referral

  • Urgent dental referral for comprehensive treatment including extractions and/or silver crowns
  • Dietary and oral hygiene counseling
  • Use of fluoride to prevent development of new lesions

Carious lesions and demineralized areas




Joanna Douglass, BDS, DDS