From the pictures, the black lines and dots you are seeing appear to be pit and fissure stains, which are quite common in back teeth. Since you mentioned the size has not increased over the last 3 months, it is less likely to be an active cavity, but stains and early decay can sometimes look similar clinically.
I would suggest getting a clinical examination where the dentist checks the area with an explorer and, if needed, takes an X-ray to confirm whether it is only staining or early decay. If it is just a stain, polishing or sealant can help. If it is an early cavity, a small filling may be required.
Meanwhile, maintain good brushing technique, especially cleaning the grooves of molars, and reduce frequent sugary or sticky food intake. If you notice pain, sensitivity, or increase in size of the spot, get it checked immediately.
Answered2026-02-07 20:58:18
1/1 people found this helpful