Do my x-rays suggest that I need fillings?

[dmcsylar]

To be more specific , I need help with my first upper molar. In the first x-ray there is a shadow to the left of the tooth. But in the second(panoramic) there isn't one. I have a small black spot (it has been there for at least 6 years) on that tooth but no holes. Can decay go through the enamel to the dentin without creating a hole?

 

[Dr Sunali dental Solution]

The small black spot you mentioned has been present for six years without holes suggests it may be an area of staining rather than active decay. However, it’s essential to differentiate between intrinsic stains (which occur within the tooth structure) and extrinsic stains (which are superficial).
If there is no progression in size or symptoms such as pain or sensitivity over these years, it may indicate that while there is some form of demineralization occurring (potentially incipient caries), it has not progressed into a full cavity.
Yes decay can indeed progress from enamel into dentin without forming an obvious hole initially. Regular dental check-ups are crucial for monitoring any changes in your oral health status and addressing potential issues before they cause harm

 

[Dr Awatif Mazhar]

If it's painless leave just change your eating habits, cut down your sugary diet and give time to your brushing, fluoride in your toothpaste if placed on teeth for a minute or so will help to reduce cavities, I see a black spot on 2nd premolar though.