I (21F) am honestly so confused and anxious about this situation, and I’m hoping someone can help me understand what might be going on. Posting this on a throwaway bc i’m honestly really embarrassed about how much this is affecting me.
When I was 15–18, my dental hygiene was unfortunately terrible. I barely brushed, never flossed, and rarely saw a dentist because my parents didn’t have the time or resources to take me, and I couldn’t get insurance on my own. When I finally went to the dentist around age 19, I was told I had six cavities that needed fillings. I was devastated, but I got them all taken care of.
Since then, I’ve been extremely diligent about my dental hygiene. I brush twice a day, floss every day, clean my retainer daily, don’t smoke or drink, eat a balanced diet, and go to my routine dental cleanings. I genuinely can’t remember the last time I skipped brushing or flossing. At my previous dentist, everything seemed to be going well. We were monitoring one tooth that had an early cavity/pre-cavity, but otherwise, nothing concerning was ever brought to my attention.
For the past two years, I’ve been driving about two hours to continue seeing that dentist. I recently decided to transfer to a dentist in the city where I now live. At my new appointment, they took X-rays and did a cleaning. The dentist pointed out what he described “problem areas” on the X-rays, but never explicitly told me that I had multiple cavities or that I even needed fillings. He mentioned that one “problem area” was particularly worse than the others, and when I told him about the tooth my previous dentist had been monitoring, he said that was likely the area he meant.
I left the appointment thinking I probably had one cavity that maybe needed a filling, same as the one i’d been monitoring with my past dentist. Then, at checkout, the receptionist asked when I wanted to schedule my fillings. Plural. I was confused and asked how many I needed. She told me EIGHT. Eight cavities requiring fillings, apparently, with most of them being in my FRONT TEETH. I was completely blindsided. I thanked her, left the office, and cried in my car. I genuinely don't understand how this happened.
My biggest question is: Did my previous dentist just never tell me about the other seven cavities? I’ve been going there for two years, getting regular cleanings, and having that tooth monitored. Wouldn’t they have seen the other cavities on my X-rays if they were already there? Could the two dentists have different opinions about what counts as a cavity that needs a filling versus an area that can be monitored? How many cavities do I actually have?
I’m especially confused because the new dentist never clearly explained that I had eight cavities. I only found out from the receptionist. Is that normal? I want to get a second opinion. I’m honestly scared. My mom’s side of the family has a terrible history of dental problems. Almost everyone over 30 has dentures, crowns, implants, or significant tooth decay. They also smoke and drink, so I was hoping that avoiding those habits would save me from those problems- but I’m seeing now that it may not be that simple. I know I can’t change how poorly I cared for my teeth as a teenager, and I’ve worked so hard to do better since then. I’m just terrified that it still won’t be enough. I’ve attached my x ray here if that helps. This is all they would send me and I cant get it in any higher resolution (according to the lady on the phone). Thank you for reading.