Also known as: tooth pits, holes in enamel, pitted teeth, open spots in teeth, visible tooth openings, worn-through spots on teeth

Visible holes in teeth in children usually look like small pits, openings, or worn areas in the enamel that you can actually see when your child smiles, eats, or opens wide. They may appear dark, rough, or shadowed inside, and food may collect there more easily than on the surrounding tooth. Some holes stay small for a time, while others quickly get deeper, wider, or more noticeable as the tooth continues to break down.

This symptom often means the tooth has already lost enough structure to show a clear defect on the surface. In many cases, visible holes are caused by decay that has progressed beyond an early spot or stain, but they can also happen when a tooth is chipped, fractured, or formed with weak enamel. Because holes in teeth rarely improve on their own and often become larger over time, early evaluation helps prevent pain, infection, and more extensive treatment.

Possible Causes of Visible Holes in Teeth

Visible holes in teeth are commonly associated with:

  • Tooth decay that has progressed – When a cavity continues to grow, the enamel can break down enough to form a visible pit or hole that is easy to see and may trap food.

  • Deep grooves that collect plaque and bacteria – Molars with deep pits and grooves are harder to clean, making them common places for decay to start and eventually create visible openings in the tooth.

  • Cracked or broken tooth structure – A chip, fracture, or area of enamel that breaks away can leave an opening or defect that looks like a hole, especially along the biting surface or edge of the tooth.

  • Weak or defective enamel – Teeth that formed with thin, rough, or uneven enamel can wear down faster and become pitted or hollowed more easily than healthy enamel.

Treatments for Visible Holes in Teeth

Depending on the cause and depth of visible holes in teeth, treatment may include:

  • Fillings – A filling can repair a small to moderate hole in the tooth by removing damaged areas and sealing the space with a durable material. This helps stop further breakdown and keeps food and bacteria out of the opening.
  • Crowns – If the hole is large or the tooth has lost significant structure, a crown can cover and protect the tooth more completely than a filling alone.
  • Baby Root Canals (Pulpotomy, aka Pulp Therapy) – When a deep hole reaches the inner pulp of a baby tooth, pulp therapy may be needed to remove damaged tissue, relieve discomfort, and help save the tooth.
  • Emergency Dentistry – If a visible hole is causing significant pain, swelling, or sudden structural breakdown, emergency dental care can help your child get evaluated and treated quickly.

When to See a Dentist

Consider scheduling an appointment if your child:

  • Has a visible pit, crater, or hole in a tooth
  • Complains of pain, sensitivity, or food getting stuck in the same area
  • Has a hole that looks darker, larger, or deeper over time
  • Shows swelling, bad breath, or trouble chewing on one side

Related Symptoms

Concerned About Visible Holes in Teeth?

Visible holes in teeth are often a sign that something needs attention. We’d love to evaluate your child’s symptoms and make their visit comfortable, positive, and stress-free. Schedule an appointment today and get the answers you need.