Small black spots on the teeth may be the emergence of dental calculus, caries and other problems, can be scaling or filling treatment. 1. Dental calculus, small black spots on the teeth may be related to the usual habits, if you often eat food containing more pigment or do not pay attention to personal hygiene, may lead to dental calculus plaque, so there will be a small black spots on the teeth symptoms, you can carry out ultrasonic scaling, to remove the small black spots. 2. caries, if there is caries, tooth corrosion may produce small black spots symptoms, according to the severity of corrosion treatment, if it is mild or moderate caries, you can choose to carry out filling treatment. If the caries is severe and has stimulated the nerve of the tooth, root canal treatment or extraction of the tooth may be required. Normally, you need to take good care of your teeth and keep your mouth clean.