Normal filaments and blocked pores
Sebaceous filaments help oil reach the skin surface and are a normal feature. Blackheads are a form of acne in which a plug blocks a pore. The dark appearance of a blackhead is not simply dirt waiting to be scrubbed away. These are different explanations for dots that can look similar.
Appearance is only a clue
Filaments are often small and fairly even, while blackheads may look more distinct. This is not a diagnostic test: you can have more than one type of skin change at once. Pain, inflammation or an unfamiliar persistent spot should not automatically be called a filament or blackhead.
Do they need treatment?
Normal filaments do not require removal. Blackheads or other acne may be worth discussing if they trouble you, but they do not justify a universal medicine or extraction routine. The appropriate advice depends on the skin finding, your symptoms and products already used.
Avoid aggressive pore care
Do not squeeze dots or use needles and extraction tools at home. Repeated scrubbing or layering strong products can irritate skin. Choose gentle care and get advice if a product stings or causes a persistent reaction. A non-comedogenic label is not a guarantee of suitability for every person.
A useful assessment
Explain whether the concern is appearance alone, recurring acne or a recent change. Ask what is being identified and why any proposed treatment is appropriate. A professional procedure still has risks, and neither permanent pore removal nor a damage-free extraction should be assumed.
Your specific question
Normal filaments and acne can occur together. That does not make every visible pore a condition to prevent, and a comparison article cannot decide whether a medicine or procedure is appropriate.