Tooth decay

Tooth decay, also known as caries, occurs when bacteria from plaque break down the tooth surface, causing permanent damage. If not detected and treated in time, the decay progresses deeper into the tooth, leading to pain, sensitivity, and eventually the need for more complex treatment.
 
tooth decay in baby teeth

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How does tooth decay develop?

Tooth decay is the result of a complex process in which bacteria present in the oral cavity play the main role. When you consume foods rich in sugars and carbohydrates, bacteria use them as a food source and produce acids as a byproduct of their breakdown. Sugar alone does not cause decay, but it creates ideal conditions for the growth of bacteria that produce acids responsible for damaging tooth enamel.
 
These acids gradually erode the enamel, the outermost and hardest layer of the tooth, making it porous and more vulnerable to further damage. In its early stages, tooth decay often goes unnoticed because it doesn’t cause pain. However, as the damage progresses, it penetrates the enamel and reaches the inner layers of the tooth.
 
The development of tooth decay can largely be prevented with consistent and thorough oral hygiene, which includes proper brushing, the use of dental floss, and regular dental check-ups.
 
Special attention should be given to the potential development of decay beneath dental fillings. Properly placed fillings protect the tooth from further deterioration, but it is important to regularly check their condition to prevent decay from forming underneath the filling.
 
Brushing your teeth regularly helps remove plaque and reduce the presence of bacteria, which effectively prevents the development of tooth decay.
 

Why is it important to detect tooth decay early?

Timely detection and treatment of tooth decay are essential for preserving tooth health and ensuring long-term success of the therapy. If decay is not removed in time, it spreads through the enamel and reaches the dentin, the inner layer of the tooth, which is softer and more vulnerable to breakdown.
 
As the lesion spreads, the tooth becomes more sensitive to heat, cold and pressure, and toothache may occur. When decay reaches the dental pulp, where the tooth’s nerve and blood vessels are located, root canal treatment becomes necessary.
 
This means removing the tooth nerve and thoroughly cleaning the root canals to prevent further infection, after which the tooth is restored using more complex procedures.
 
Delaying treatment at this stage increases both the complexity and the cost of the procedure, as root canal therapy requires specialized techniques and more time in the dental chair.
 
It is extremely important to treat tooth decay on time, as advanced decay can lead to the risk of tooth gangrene.
 

Small cavity, small cost. Large cavity, large cost.

Timely intervention not only reduces pain and the risk of complications, but also allows for more affordable treatment. The smaller the cavity and the more limited it is to the enamel, the easier it is to remove and restore with a simple filling.
 
However, as the lesion deepens and reaches the dentin, costs increase due to the need for additional work and the use of special materials.
 
Delayed treatment of tooth decay can lead to more serious damage, requiring more complex procedures such as tooth build-up with posts, treatment of tooth inflammation, and placement of dental crowns to preserve both function and aesthetics.
 
Regular dental check-ups, annual panoramic x-rays, and good oral hygiene significantly reduce the risk of tooth decay and the need for more complex treatments.

How to recognize tooth decay?

Tooth decay progresses through several stages, from early demineralisation to serious complications:
 
Demineralisation - the first sign of decay appears as white spots on the enamel, indicating mineral loss. In this early stage, decay is still reversible with proper oral hygiene and fluoride use.
 
Enamel breakdown - if demineralisation continues, decay penetrates deeper, creating small cavities in the enamel. This increases tooth sensitivity and requires a filling.
 
Dentin involvement - once decay reaches the dentin, the process accelerates, causing more pain and sensitivity. Treatment includes more extensive restorations.
 
Pulpitis - if left untreated, decay can reach the pulp, leading to inflammation and severe pain. This condition usually requires root canal treatment.
 
Abscess - in severe cases, the infection can lead to a tooth abscess, causing sharp pain, swelling, and the need for urgent medical care.
 
Good oral hygiene, reducing sugar intake, and regular dental check-ups are key to preventing decay and maintaining healthy teeth.

Tooth decay in children

Tooth decay in children, even though it affects baby teeth, needs to be treated. Regular dental check-ups help detect decay early and ensure timely treatment, protecting dental health from an early age.
 
Should baby teeth be treated? - untreated decay in children can lead to premature loss of baby teeth.
This may interfere with the proper development of permanent teeth and require future orthodontic treatment.
Infection from decay can even spread to permanent teeth that haven’t erupted yet.
 
Preventing and treating tooth decay in children - the main steps include regular dental visits, fluoride use, proper tooth brushing, and limiting sugar intake.
 
It is also important to treat decay in children as soon as it’s noticed, to avoid complications and ensure a healthy smile in the future.
 
These measures help maintain the health of baby teeth, which is important not only for oral health, but also for the child’s overall well-being.



 

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